MR. KEVIN JAMES WILLIAMSON (NPI# 1386622934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386622934 |
| Entity Type | Individual |
| Full Name | MR. KEVIN JAMES WILLIAMSON |
| Credential | PCC-S |
| Practice Address |
3500 Carnegie Ave Cleveland OH 44115-2641 |
| Practice Telephone | 4402608436 |
| Practice Fax Number | 4402608576 |
| Mailing Telephone | 4402608436 |
| Mailing Fax Number | 4402608576 |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2012-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
E.0008231-SUPV | OH | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
0701002759 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TRIGON PPU | 334393 | 01 | |
| TRIGON PPU | 334392 | 01 | |
| VA | 010082765 | 05 | |
| VA | 010082862 | 05 | |
| VA | MAGELLAN | 023469000 | 01 |
| TRIGON PPU | 334394 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356963342 | Kevin Williamson | Counselor | 39155 Liberty St Ste E500, Fremont, CA 94538-1516 | 2020-05-12 |
| 1992065965 | Kevin Paul Williamson | Dentist | 2 E 5th St, Morris, MN 56267-1344 | 2012-05-23 |
| Street Address |
3500 CARNEGIE AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44115-2641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689573 | Johnna Miska | Community Health Worker | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2020-11-06 |
| 1962003723 | Lori Musarra | Community Health Worker | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2020-11-06 |
| 1861093700 | Leah Popkin | Community Health Worker | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2020-11-06 |
| 1700486487 | Gina M Branco | Counselor | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2020-10-30 |
| 1770183659 | Hannah B Vertal | Community Health Worker | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2020-10-29 |
| 1417556432 | Derrick A Pledger | Counselor | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2020-10-21 |
| 1255930285 | Jessica Raye Yeager | Community Health Worker | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2020-10-21 |
| 1588263859 | Kaeley Doyle | Counselor | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2020-10-19 |
| 1225636822 | Erica J. Tapia-mateo | Community Health Worker | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2020-10-15 |
| 1518565456 | Anna Kay Seballos | Community Health Worker | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2020-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117299 | Ann Marie Louise Melinz | Counselor | 2525 West 22nd Street, Cleveland, OH 44115 | 2020-09-03 |
| 1881231850 | Steven Kelly | Case Management | 3500 Carnegie Ave., Cleveland, OH 44115 | 2019-12-09 |
| 1649821422 | Larry Hollimon | Technician | 2320 East 30th Street, Apt #1304, Cleveland, OH 44115 | 2019-09-24 |
| 1306332408 | Tyler Milam | Counselor | 2334 Prospect Ave., 400, Cleveland, OH 44115 | 2018-07-02 |
| 1780108019 | Victoria Charles | Registered Nurse | 2500 E. 22nd St, Cleveland, OH 44115 | 2017-07-28 |
| 1528580511 | Randol Jamel Kennedy | Internal Medicine | 2351 East 22nd Street Suite 338 W, St. Vincent Charity Medical Center, Cleveland, OH 44115 | 2017-07-11 |
| 1508393422 | Gang Anthony Lu | Dentist | 1110 Euclid Ave Ste 202, Cleveland, OH 44115 | 2017-05-23 |
| 1093116501 | Megan Shiles | Psychologist | 2675 East 30th St., Cleveland, OH 44115 | 2014-09-16 |
| 1003224577 | Efewongbe Benedicta Oleghe | Internal Medicine | 2351 E 22nd Street, St Vincent's Charity Medical Center, Cleveland, OH 44115 | 2014-07-29 |
| 1982032074 | Andrew Winchester | Social Worker | 2500 Carnegie Ave, Cleveland, OH 44115 | 2013-10-29 |
| Find all providers in zip 44115 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
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| 1982203246 | Kimberly Fuller, Lisw, LLC | Counselor | 2291 W 38th St, Cleveland, OH 44113-3867 | 2020-10-19 |
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| 1629675541 | Shayna Mell | Counselor | 4542 Wilburn Dr, Cleveland, OH 44121-3863 | 2020-10-04 |
| 1316552649 | Monisa Ramseur | Counselor | 2800 Euclid Ave Ste 335, Cleveland, OH 44115-2496 | 2020-09-14 |
| 1164031076 | Michele R Princeton | Counselor | 3846 E 65th St, Cleveland, OH 44105-3560 | 2020-07-27 |
| 1700407517 | Cornerstone Behavioral Health LLC | Counselor | 814 E 185th Street, Suite 300, Cleveland, OH 44119 | 2020-05-04 |
| 1811522337 | Mary Cassidy | Counselor | 4128 Lorain Ave, Cleveland, OH 44113-3719 | 2020-03-04 |
| 1285272963 | Theophilus Nikia Williams | Counselor | 3521 W 54th St, Cleveland, OH 44102-5709 | 2019-12-13 |
| 1467098822 | Jordan Community Residential | Counselor | 2231 N Taylor Rd, Cleveland, OH 44112-3044 | 2019-11-20 |
| 1285275529 | Anchor Warrior Center | Counselor | 3505 Adkisson Dr Nw Ste 156, Cleveland, TN 37312-6823 | 2019-10-07 |
| Find all providers in CLEVELAND | ||||
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| 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.