KIMONE WILLIAMS LMHC
NPI 1023963535
Counselor - Mental Health in Long Island City, NY

Active since March 02, 2026PECOS Enrolled
4332 22ND ST STE 203, LONG ISLAND CITY, NY 11101(347) 426-6072 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kimone Williams Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMONE WILLIAMS LMHC (NPI 1023963535) is an individual mental health provider in Long Island City, New York, licensed in New York (015885) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1023963535
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMONE WILLIAMSCredential: LMHC
Location Address4332 22ND ST STE 203Long Island City, NY 11101-5077
Mailing Address37 Baldwin Pl Apt 2Bloomfield, NJ 07003-6008 · (973) 715-1033
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 2, 2026
NPPES CertifiedMarch 1, 2026
✔ NPI 1023963535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 015885
4332 22ND ST STE 203, Long Island City, NY 11101

Secondary Practice Location 1

Location 155 Lexington AveNew York, NY 10010-5585 · Phone (646) 212-2155

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimone Williams Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608336102
PECOS Enrollment IDI20260903003367
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kimone Williams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
600 3RD AVE FL 2
New York, NY 10016
  • Reassigned Medicare billing, New York enrollment
  • 72 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Mental Health (Including Community Mental Health Center))
4332 22ND ST STE 203
LONG ISLAND CITY, NY 11101
Nurse Practitioner (Family)
4332 22ND ST STE 203
LONG ISLAND CITY, NY 11101
Counselor (Mental Health)
4332 22ND ST STE 203
LONG ISLAND CITY, NY 11101
Psychologist (Clinical)
4332 22ND ST STE 203
LONG ISLAND CITY, NY 11101
Nurse Practitioner (Psychiatric/Mental Health)
4332 22ND ST STE 203
LONG ISLAND CITY, NY 11101
Psychologist (Clinical)
4332 22ND ST STE 203
LONG ISLAND CITY, NY 11101
Physical Therapist
4332 22ND ST STE 203
LONG ISLAND CITY, NY 11101
Physical Therapist
4332 22ND ST STE 203
LONG ISLAND CITY, NY 11101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimone Williams's NPI number?

The NPI number for Kimone Williams is 1023963535. It was assigned to this individual provider in the NPPES registry on March 2, 2026.

Where is Kimone Williams located?

Kimone Williams practices at 4332 22nd St Ste 203, Long Island City, NY 11101. The listed phone number is (347) 426-6072.

What is Kimone Williams's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kimone Williams enrolled in Medicare?

Yes. Kimone Williams is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimone Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimone Williams reassigns Medicare benefits to Aa Psychology PLLC (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimone Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kimone Williams was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.