Individual provider Active NPI

Kayla Williams

  • Professional Counselor
  • Burke, VA
National Provider Identifier
1902502016
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
5641 Burke Centre Pkwy Ste 206
Burke, VA 22015-2259
Phone
(301) 392-7908
NPI assigned
Feb 1, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

5641 Burke Centre Pkwy Ste 206
Burke, VA 22015-2259

Mailing address

3249 Arrowhead Cir Apt G
Fairfax, VA 22030-7360

Other practice location 1

11166 Fairfax Blvd Ste 207
Fairfax, VA 22030-5017
Phone (301) 392-7908

Other practice location 2

1460 Govenrnor Ritchie Hwy
Arnold, MD 21012-2730
Phone (301) 392-7908

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

NPI Registry JSON

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1902502016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3249 ARROWHEAD CIR APT G",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5641 BURKE CENTRE PKWY STE 206",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220152259",
            "telephone_number": "301-392-7908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11166 Fairfax Blvd Ste 207",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220305017",
            "country_code": "US",
            "telephone_number": "301-392-7908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1460 Govenrnor Ritchie Hwy",
            "address_purpose": "LOCATION",
            "city": "Arnold",
            "state": "MD",
            "postal_code": "210122730",
            "country_code": "US",
            "telephone_number": "301-392-7908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KAYLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-01",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.