Kenyetta Montrece Marshall-Williams, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2021004096 Issued in MO

Practice address

244 Brookmanor CT
Belleville, IL 62221-7131

Phone

(314) 299-7981

NPI assigned

Jan 19, 2023

Last updated

Jan 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1902511421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 BROOKMANOR CT",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622217131",
            "telephone_number": "314-299-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 BROOKMANOR CT",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622217131",
            "telephone_number": "314-299-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL-WILLIAMS",
        "first_name": "KENYETTA",
        "middle_name": "MONTRECE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2021004096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "KEMTHOMAS88@GMAIL.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "N/A",
            "address_1": "244 Brookmanor Ct",
            "city": "Belleville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622217131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Geofry D. Manzo, ATC
• Noreen Manzoor
• Stuart L Marcus, LCSW, ACSW
• Mark S. Feldman, M.D. P.C. (Mark S. Feldman, M.D.)
• John Robert Markarian, D.M.D.
• Alexis Joelle Marshall
• Anna Marshall, BCCHHP
• Eric Ray Marshall, RN
• Lauren Nicole Marshall, FNP
• Sheila Marshall, LPC

• Mental Health Counselor in Belleville, IL
• Providers in Belleville, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.