Active NPI
Kristin Margaret Williams, MA, LPCC, LADC
- Professional Counselor
- Minneapolis, MN
National Provider Identifier
1942548698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 522
- Practice address
- 2318 Park Avenue
Minneapolis, MN 55404 - Phone
- (612) 871-7443
- Fax
- (612) 871-0194
- NPI assigned
- Jan 30, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 302916 | MN | |
| Professional Counselor | 101YP2500X | 522 | MN | Primary |
Addresses
Primary practice location
2318 Park Avenue
Minneapolis, MN 55404
Mailing address
2318 Park Avenue
Minneapolis, MN 55404
Phone (612) 871-7443
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 302916 | MN | MD | Addiction (Substance Use Disorder) Counselor |
| 522 | MN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1942548698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2318 PARK AVENUE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55404",
"telephone_number": "612-871-7443",
"fax_number": "612-871-0194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2318 PARK AVENUE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55404",
"telephone_number": "612-871-7443",
"fax_number": "612-871-0194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KRISTIN",
"middle_name": "MARGARET",
"credential": "MA, LPCC, LADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-30",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "302916",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.