Individual provider Active NPI

Kieara Monee Williams, MSW

  • Counselor
  • Kennesaw, GA
National Provider Identifier
1992276356
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
6095 Pine Mountain Rd NW Ste 105
Kennesaw, GA 30152-3332
Phone
(678) 217-7529
NPI assigned
Dec 11, 2018
Sex
Female
Sole proprietor
Yes

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X GA Primary

Addresses

NPPES NPI Registry

Primary practice location

6095 Pine Mountain Rd NW Ste 105
Kennesaw, GA 30152-3332

Mailing address

3507 Station Club Dr SW
Marietta, GA 30060-7505
Phone (706) 773-5136

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 11, 2018.

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1992276356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 STATION CLUB DR SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607505",
            "telephone_number": "706-773-5136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6095 PINE MOUNTAIN RD NW STE 105",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301523332",
            "telephone_number": "678-217-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KIEARA",
        "middle_name": "MONEE",
        "name_prefix": "Miss",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-11",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.