KIMBERLY DENIECE WILLIAMS (NPI# 1336443571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336443571 |
| Entity Type | Individual |
| Full Name | KIMBERLY DENIECE WILLIAMS |
| Credential | LPC |
| Practice Address |
941 S Mcpherson Church Rd Fayetteville NC 28303-5369 |
| Practice Telephone | 9104835744 |
| Practice Fax Number | 9104835494 |
| Mailing Telephone | 9104835744 |
| Mailing Fax Number | 9104835494 |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2011-01-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 8377 | NC | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
8377 | NC | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396380580 | Kimberly Williams | Home Health | 5863 Cabanne Ave, Saint Louis, MO 63112-2410 | 2019-11-11 |
| 1902468465 | Kimberly Williams | Driver | 132 Sanderling Ave, Sandston, VA 23150-1000 | 2019-07-05 |
| 1942860309 | Kimberly Williams | Licensed Vocational Nurse | 19780 Atascocita Shores Dr Apt 931, Humble, TX 77346-2933 | 2019-06-18 |
| 1679133367 | Kimberly Sylvia Williams | Student in an Organized Health Care Education/Training Program | 9120 W Hampton Ave Ste 90, Milwaukee, WI 53225-4960 | 2019-06-16 |
| 1912463456 | Kimberly S Williams | Nurse Practitioner | 4565 Riverwood Cir, Decatur, GA 30035-2935 | 2019-02-20 |
| 1083199673 | Kimberly Sue Williams | Peer Specialist | 4913 W Lamar Ave, Spokane, WA 99208-9131 | 2018-09-28 |
| 1164932067 | Kimberly Williams | Licensed Practical Nurse | 1972 New Scotland Rd # 1012, Slingerlands, NY 12159-3629 | 2017-10-05 |
| 1881055036 | Kimberly Williams | Student in an Organized Health Care Education/Training Program | 107 36th St Ne, Washington, DC 20019-2602 | 2016-03-16 |
| 1518347335 | Kimberly Ann Williams | Social Worker | 6719 Gabrielle Pt, Whitsett, NC 27377-9808 | 2015-06-06 |
| 1376942151 | Kimberly Sheena Williams | Counselor | 55 N Arbor Trl, Apt. 501, Park Forest, IL 60466-2659 | 2014-08-18 |
| Street Address |
941 S MCPHERSON CHURCH RD |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28303-5369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689778292 | Preferred Alternatives, Inc. | Home Health | 941 S Mcpherson Church Rd, Fayetteville, NC 28303-5369 | 2006-09-12 |
| 1447686407 | Easter Seals Ucp North Carolina & Virginia | Custodial Care Facility | 941 S Mcpherson Church Rd, Fayetteville, NC 28303-5369 | 2013-09-23 |
| 1639460595 | Rha Health Services Inc | Community/Behavioral Health | 941 S Mcpherson Church Rd, Fayetteville, NC 28303-5369 | 2011-04-27 |
| 1275824138 | Rha Health Services Inc | Community/Behavioral Health | 941 S Mcpherson Church Rd, Fayetteville, NC 28303-5369 | 2011-04-27 |
| 1669771390 | Rha Health Services Inc | Day Training, Developmentally Disabled Services | 941 S Mcpherson Church Rd, Fayetteville, NC 28303-5369 | 2011-03-21 |
| 1669787834 | Family Alternatives, Inc. | Case Management | 941 S Mcpherson Church Rd, Fayetteville, NC 28303-5369 | 2010-08-12 |
| 1053552489 | Keva Jay Fennell | Counselor | 941 S Mcpherson Church Rd, Fayetteville, NC 28303-5369 | 2009-03-14 |
| 1467621979 | Cheryl Sutton Torres | Counselor | 941 S Mcpherson Church Rd, Fayetteville, NC 28303-5369 | 2008-02-28 |
| 1952480261 | Family Alternatives, Inc | Case Management | 941 S Mcpherson Church Rd, Fayetteville, NC 28303-5369 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404496 | Matthew Pace | Physician Assistant | Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 | 2020-07-20 |
| 1952920449 | Vonetta Bethea Jackson | Social Worker | 391 Wagoner Drive, Fayetteville, NC 28303 | 2020-04-14 |
| 1932746229 | Julie Harriss | Specialist/Technologist | Bldg E 4062, Canopy Lane, Fort Bragg, NC 28303 | 2019-12-05 |
| 1235780354 | Helen Delores Johnson | Technician | 261 Pierron Dr, Fayetteville, NC 28303 | 2019-09-20 |
| 1922655075 | Andrea Margaret Hutnam | Technician | 714 Shortridge Rd, Fayetteville, NC 28303 | 2019-08-23 |
| 1225695273 | Breona Lister | Dental Hygienist | 38 17 Gruber Rd, Fort Bragg, NC 28303 | 2019-05-24 |
| 1780148957 | Brian K Cox Sr. | Occupational Therapy Assistant | 5300 Ramsey St, Fayetteville, NC 28303 | 2019-01-22 |
| 1730670902 | Michael Sadtler | Counselor | 804 Stamper Rd Ste 101, Fayetteville, NC 28303 | 2018-05-23 |
| 1104320399 | Tia Porterfield | Counselor | 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 | 2018-03-21 |
| 1154835577 | Jessica Bass Bosworth | Psychologist | 3415 Youngstown Dr, Fayetteville, NC 28303 | 2017-11-21 |
| Find all providers in zip 28303 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576352 | Bianca Faith Monroe | Counselor | 111 Lamon St Ste 100, Fayetteville, NC 28301-4917 | 2020-10-23 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1760032239 | Peyton Elaine Smith | Counselor | 2403 Main Dr Ste 1&2, Fayetteville, AR 72704-5223 | 2019-09-17 |
| 1467014746 | Tennille Kristine Wilson | Counselor | 6415 Camden Rd Ste 109, Fayetteville, NC 28306-7584 | 2019-07-08 |
| 1366914004 | Katie Frankum | Counselor | 6805 Woodmark Dr, Fayetteville, NC 28314-6458 | 2018-12-19 |
| 1588132534 | Sara Penney | Counselor | 351 Wagoner Dr Ste 135, Fayetteville, NC 28303-4608 | 2018-11-07 |
| 1578045589 | Tamara Smith Thom | Counselor | 2307 Cumberland Gap Dr, Fayetteville, NC 28306-6940 | 2018-09-06 |
| 1003393968 | Melissa Stone Martinez | Counselor | 175 Bradford Sq Ste D, Fayetteville, GA 30215-1967 | 2018-07-24 |
| 1629561568 | Hamlin Glover Consulting Group, LLC | Counselor | 3681 Raeburn Ct, Fayetteville, NC 28314-2623 | 2018-06-13 |
| 1861983439 | Jessica Lynne Smith | Counselor | 6885 Cliffdale Rd Ste 2002, Fayetteville, NC 28314 | 2018-05-19 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28303 |
Please comment or provide details below to improve the information on KIMBERLY DENIECE WILLIAMS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.