Active NPI
Kenneth C Williams
- Marriage & Family Therapist
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 134529
- Practice address
- 1301 Pierce St
San Francisco, CA 94115-4005 - Phone
- (628) 217-5465
- NPI assigned
- Aug 13, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 134529 | CA | Primary |
Addresses
Primary practice location
1301 Pierce St
San Francisco, CA 94115-4005
Mailing address
1301 Pierce St
San Francisco, CA 94115-4005
Phone (628) 217-5465
Other practice location 1
646 Corbett Ave Apt 404
San Francisco, CA 94114-2205
Phone (415) 810-4165
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240126000906 | CA | Practitioner - Marriage and Family Therapist | 0941653901 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- City and County of San Francisco
Practice addresses (Care Compare)
1301 Pierce St
San Francisco, CA 94115-4005
Phone (415) 292-1300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 134529 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City and County of San Francisco | Current | Accepting new patients | |
| City & County of San Francisco | Current | Accepting new patients | |
| City & County of San Francisco | Current | Accepting new patients |
Locations
1490 Mason St
San Francisco, CA 94133
Phone (415) 364-7600
1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305
1001 Potrero Ave
Bldg 20
San Francisco, CA 94110
Phone (415) 206-8524
1351 24th Ave
San Francisco, CA 94122
Phone (415) 682-1900
3850 17th St
San Francisco, CA 94114
Phone (415) 487-7500
1301 Pierce St
San Francisco, CA 94115
Phone (415) 292-1300
1525 Silver Ave
San Francisco, CA 94134
Phone (415) 657-1700
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708128000000",
"number": "1992010912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 PIERCE ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941154005",
"telephone_number": "628-217-5465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 PIERCE ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941154005",
"telephone_number": "628-217-5465"
}
],
"practiceLocations": [
{
"address_1": "646 Corbett Ave Apt 404",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941142205",
"country_code": "US",
"telephone_number": "415-810-4165",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KENNETH",
"middle_name": "C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-13",
"last_updated": "2024-02-17",
"certification_date": "2024-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "134529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.