Individual provider Active NPI

Kenya Williamson, LPC

  • Professional Counselor
  • Fort Worth, TX
National Provider Identifier
1891357661
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
67726 Issued in TX
Practice address
5601 Bridge St Ste 300
Fort Worth, TX 76112-2355
Phone
(682) 214-0607
Fax
(682) 232-0611
NPI assigned
Jul 2, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 67726 TX Primary

Addresses

Primary practice location

5601 Bridge St Ste 300
Fort Worth, TX 76112-2355

Mailing address

5601 Bridge St Ste 300
Fort Worth, TX 76112-2355
Phone (682) 214-0607

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address klwilliamson@veraciouscounseling.com Direct
Direct Messaging Address klwilliamson@veraciouscounseling.com Direct
Direct Messaging Address klwilliamson@veraciouscounseling.com Direct
Direct Messaging Address klwilliamson@veraciouscounseling.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
67726TXMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1891357661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 BRIDGE ST STE 300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761122355",
            "telephone_number": "682-214-0607",
            "fax_number": "682-232-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 BRIDGE ST STE 300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761122355",
            "telephone_number": "682-214-0607",
            "fax_number": "682-232-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "KENYA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "67726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "klwilliamson@veraciouscounseling.com",
            "affiliation": "N",
            "endpointDescription": "diagnosis, concerns, trauma",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5601 Bridge St Ste 300",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761122355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "klwilliamson@veraciouscounseling.com",
            "affiliation": "N",
            "endpointDescription": "diagnosis, concerns, trauma",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5601 Bridge St Ste 300",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761122355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "klwilliamson@veraciouscounseling.com",
            "affiliation": "N",
            "endpointDescription": "diagnosis, concerns, trauma",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5601 Bridge St Ste 300",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761122355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "klwilliamson@veraciouscounseling.com",
            "affiliation": "N",
            "endpointDescription": "diagnosis, concerns, trauma",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5601 Bridge St Ste 300",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761122355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.