KELLY WILLIAMS (NPI# 1609391994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609391994 |
| Entity Type | Individual |
| Full Name | KELLY WILLIAMS |
| Credential | CDCA |
| Practice Address |
2115 Westpark Drive Lorain OH 44053 |
| Mailing Address |
2115 W Park Dr Lorain OH 44053-1138 |
| Practice Telephone | (440) 989-4987 |
| Mailing Telephone | 4409894987 |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2017-08-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDCA.161173 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | LICENSE | CDCA.161173 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508323528 | Kelly Mikel Williams | Technician | 1003 Anderson Pl Se, Washington, DC 20032-4405 | 2019-02-26 |
| 1093178493 | Kelly Williams | Counselor | 1105 Cedar Crest Dr, Minden, NV 89423-5168 | 2016-04-01 |
| 1174936868 | Kelly Williams | Behavioral Analyst | 4001 Glenarm Ave, Baltimore, MD 21206-2527 | 2014-06-10 |
| 1689097446 | Kelly Williams | Registered Nurse | 18889 Saint Aubin St, Detroit, MI 48234-1220 | 2014-01-30 |
| 1588905970 | Kelly D Williams | Nurse Practitioner | 560 Queens Court Pl, Saint Peters, MO 63376-7349 | 2013-03-08 |
| 1750632204 | Kelly B Williams | Physical Therapy Assistant | 1127 Knight Dr, Columbus, GA 31906-2731 | 2012-09-24 |
| 1518241462 | Kelly Ann Williams | Pharmacist | 301 S. Sante Fe Avenue, Edmond, OK 73003 | 2011-10-10 |
| 1801190210 | Kelly Anne Williams | Health Educator | 9613 Sudley Manor Dr, Manassas, VA 20109-3345 | 2010-12-28 |
| 1235463621 | Kelly Williams | Counselor | 89 Access Rd Ste A2, Norwood, MA 02062-5229 | 2009-10-01 |
| 1487889465 | Kelly Marie Williams | Hearing Instrument Specialist | 165 E. Rowland Street, Covina, CA 91723-3049 | 2009-05-20 |
| Street Address |
2115 WESTPARK DRIVE |
| City | LORAIN |
| State | OH |
| Zip Code | 44053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194868547 | Michelle Archer | Social Worker | 2115 Westpark Drive, Lorain, OH 44053 | 2007-02-15 |
| 1619495603 | Jeffrey J Kosiba | Counselor | 2115 Westpark Drive, Lorain, OH 44053 | 2017-08-30 |
| 1114447034 | Kimberly R Cunningham | Counselor | 2115 Westpark Drive, Lorain, OH 44053 | 2017-06-21 |
| 1053840470 | David Kathrein | Counselor | 2115 Westpark Drive, Lorain, OH 44052 | 2017-06-08 |
| 1396271409 | Dorothy Jones | Counselor | 2115 Westpark Drive, Lorain, OH 44053 | 2017-05-10 |
| 1447709225 | Margaret Tallon | Counselor | 2115 Westpark Drive, Lorain, OH 44053 | 2016-09-22 |
| 1225584592 | Anita Christine Jensen | Counselor | 2115 Westpark Drive, Lorain, OH 44053 | 2016-08-28 |
| 1578019857 | Jeffrey Olen | Counselor | 2115 Westpark Drive, Lorain, OH 44053 | 2016-08-28 |
| 1942545751 | Rita Laudermilt | Counselor | 2115 Westpark Drive, Lorain, OH 44053 | 2012-12-05 |
| 1255581914 | Karyn Tremonto | Counselor | 2115 Westpark Drive, Lorain, OH 44053 | 2008-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242196 | Yokita Maria Thomas | Homemaker | 4818 Ashland Ave, Lordin, OH 44053 | 2020-10-14 |
| 1497353445 | Matthew George Simkovich | Homemaker | 4366 Jenee Dr, Lorain, OH 44053 | 2020-10-13 |
| 1881229979 | Christine Wilson | Physical Therapist | 5940 Oak Point Rd., Lorain, Lorain, OH 44053 | 2020-03-09 |
| 1912538760 | Barry Delaney Masin | Student in an Organized Health Care Education/Training Program | 2704 West Erie Avenue, Lorain, OH 44053 | 2020-01-30 |
| 1275171399 | Martina Beato | Social Worker | The Nord Center 6140 S. Broadway, Lorain, OH 44053 | 2019-12-19 |
| 1285279802 | Tivan LLC | Non-emergency Medical Transport (VAN) | 5821 Williamsburg Dr., Lorain, OH 44053 | 2019-11-07 |
| 1023650843 | Candace Taber | Case Manager/Care Coordinator | 6140 South Broadway, Lorain, OH 44053 | 2019-10-14 |
| 1265956098 | Phillip H Emerson | Social Worker | 1740 Cooper Foster Park Road East, Lorain, OH 44053 | 2017-08-02 |
| 1447796750 | Kafilat Idowu Kelani | Nurse Practitioner | 3700 Kolbe Rd, Lorain, Lorain, OH 44053 | 2017-01-10 |
| 1083075808 | Mark B Applegate | Counselor | 2115 West Park Drive, Lorain, OH 44053 | 2016-03-08 |
| Find all providers in zip 44053 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811411051 | Shatela R. Evans | Counselor | 3002 Brookview Dr, Lorain, OH 44053-1427 | 2017-07-31 |
| 1497285654 | Alan Golowenski | Counselor | 305 W. 20th St, Lorain, OH 44052 | 2017-06-19 |
| 1831625391 | John Corry | Counselor | 4520 Oberlin Ave Ste 2, Lorain, OH 44053-3173 | 2017-05-03 |
| 1083075808 | Mark B Applegate | Counselor | 2115 West Park Drive, Lorain, OH 44053 | 2016-03-08 |
| 1821470881 | Eva Lozano | Counselor | 2318 E 29th St, Lorain, OH 44055-2008 | 2015-06-25 |
| 1174124184 | Katherine Stipp | Counselor | 6150 Park Square Dr Ste B, Lorain, OH 44053-4153 | 2020-11-05 |
| 1730794298 | Jimmy Jay Christian | Counselor | 6150 Park Square Dr Ste B, Lorain, OH 44053-4153 | 2020-09-11 |
| 1215548185 | Alyssa L Tennant | Counselor | 2115 W Park Dr, Lorain, OH 44053-1138 | 2020-08-13 |
| 1467077305 | Jonetha Ali | Counselor | 6140 S Broadway, Lorain, OH 44053-3891 | 2020-06-16 |
| 1881217545 | Daniel Laurence Gainer | Counselor | 2115 W Park Dr, Lorain, OH 44053-1138 | 2020-05-28 |
| Find all providers in LORAIN | ||||
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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.