DR. KRIS F WILLIAMS-FALCON (NPI# 1770907248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770907248 |
| Entity Type | Individual |
| Full Name | DR. KRIS F WILLIAMS-FALCON |
| Credential | PHD, CPASTC, MSW,SAC |
| Practice Address |
207 Wind Swept St Raeford NC 28376-9279 |
| Mailing Address |
5660 Hancock Street Hope Mills NC 28348-9279 |
| Practice Telephone | 9129881908 |
| Practice Fax Number | 8775199597 |
| Mailing Telephone | 9129881908 |
| Mailing Fax Number | 8775199594 |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2020-10-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
21418975 | NC | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP1600X |
Counselor Specialization: Pastoral |
02155627 | GA | Behavioral Health & Social Service Providers |
| N | 101YP1600X |
Counselor Specialization: Pastoral |
02155627 DUAL | GA | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | 80056542 | GA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 02155627 | GA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 02155627 DUAL | GA | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | 960065254 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 12709963 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 21147 West Highway 80, Pooler, GA 313224281 | 9129881908 | 9122263553 |
| 8 Southpark Blvd, Savannah, GA 314073904 | 9129881908 | 9122263553 |
| Street Address |
207 WIND SWEPT ST |
| City | RAEFORD |
| State | NC |
| Zip Code | 28376-9279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043778855 | Tpm Home Health Agency | Home Health | 207 Wind Swept St, Raeford, NC 28376-9279 | 2019-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578185104 | Elite Supply Services, Inc. | Durable Medical Equipment & Medical Supplies | 2148 Bus-us 401, Raeford, NC 28376 | 2020-05-18 |
| 1205485695 | Brenda P Gregorio | Technician | 297 Gregorios Ln, Raeford, NC 28376 | 2019-09-09 |
| 1083197115 | Jennifer Picerno Bowyer | Nurse Practitioner | 929 Prospect Ave., Raeford, NC 28376 | 2018-09-14 |
| 1730694746 | Embassy Health Network | Counselor | 2148 Hwy 401 Business, Raeford, NC 28376 | 2017-12-13 |
| 1508398991 | Rockfish Pharmacy Inc | Pharmacy | 221 Flagstone Lane, Raeford, NC 28376 | 2017-04-03 |
| 1205281235 | William Fiebig | Nurse Practitioner | Hoke Hospital, 210 Medical Pavilion Drive, Raeford, NC 28376 | 2016-04-27 |
| 1306200647 | Tia Hart Community Recovery Program | Community/Behavioral Health | 2188 A Us 401 Business, Raeford, NC 28376 | 2016-04-13 |
| 1508240631 | Integrated Mental Health Services Agency Inc | Community/Behavioral Health | 2188-a Hwy 401 Business, Raeford, NC 28376 | 2015-07-18 |
| 1649658287 | Divine Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 320 Birch St, Raeford, NC 28376 | 2015-05-15 |
| 1992192298 | David Abdulhaqq | Counselor | 225 Aggies Lane, Raeford, NC 28376 | 2015-04-24 |
| Find all providers in zip 28376 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932445996 | Independence Counseling and Consulting Services, Pllc | Counselor | 946 Mockingbird Hill Rd, Raeford, NC 28376-6363 | 2012-12-19 |
| 1215273586 | Carol Davis Forte | Counselor | 195 Walton Heath Dr, Raeford, NC 28376-5905 | 2012-12-14 |
| 1902176613 | Tamara Nicole Smith | Counselor | 201 John Brown Rd, Raeford, NC 28376-5708 | 2012-01-11 |
| 1104111467 | Rosa Mcallister-mcrae | Counselor | 120 Sprucepine Dr, Raeford, NC 28376-8452 | 2011-06-15 |
| 1568641710 | Angela Gail Southerland | Counselor | 635 Vass Rd, Raeford, NC 28376-8412 | 2007-10-24 |
| 1427193341 | National Mentor Healthcare, LLC | Counselor | 116b Campus Avenue, Raeford, NC 28376-2606 | 2007-02-20 |
| 1700494440 | Katie Guerry Long | Counselor | 402 Harris Ave, Raeford, NC 28376-3112 | 2020-07-20 |
| 1457979247 | Anntoinette Evon Thompson | Counselor | 310 Birch St, Raeford, NC 28376-3297 | 2020-07-08 |
| 1598300717 | Tiffany Renae Pearson | Counselor | 181 Bostic Rd, Raeford, NC 28376-6101 | 2019-11-12 |
| 1235788647 | Robyn Ann Mirassou | Counselor | 7489 Rockfish Rd, Raeford, NC 28376-6131 | 2019-09-09 |
| Find all providers in RAEFORD | ||||
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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.