KIMBERLY LATASHA WILLIAMS
NPI 1104961432
Counselor - Mental Health in Winston Salem, NC

Active since February 21, 2007
1399 ASHLEYBROOK LN STE 100, WINSTON SALEM, NC 27103(336) 774-2194 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kimberly Latasha Williams NPPES

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

KIMBERLY LATASHA WILLIAMS (NPI 1104961432) is an individual mental health provider in Winston Salem, North Carolina, licensed in North Carolina (A19283) and active in the NPI registry since February 2007. She maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1104961432
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLY LATASHA WILLIAMS
Location Address1399 ASHLEYBROOK LN STE 100Winston Salem, NC 27103-2961
Mailing Address2100 Charlie Hall BlvdCharleston, SC 29414-5832
Sole ProprietorNo
Enumeration DateFebruary 21, 2007
Last NPPES UpdateJanuary 9, 2026
NPPES CertifiedJanuary 9, 2026
NPI 1104961432 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 NC · A19283
1399 ASHLEYBROOK LN STE 100, Winston Salem, NC 27103

Other Names 1

Former Name (1)Kimberly Rivers

Secondary Practice Location 1

Location 12100 Charlie Hall BlvdCharleston, SC 29414-5832 · Phone (843) 852-4100

Other Identifiers 1

Medicaid190166SC

Other Providers at the Same Location NPPES 3

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

Psychiatry & Neurology (Psychiatry)
1399 ASHLEYBROOK LN STE 100
WINSTON SALEM, NC 27103
Counselor (Mental Health)
1399 ASHLEYBROOK LN STE 100
WINSTON SALEM, NC 27103
Counselor (Mental Health)
1399 ASHLEYBROOK LN STE 100
WINSTON SALEM, NC 27103

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 Kimberly Williams's NPI number?

The NPI number for Kimberly Williams is 1104961432. It was assigned to this individual provider in the NPPES registry on February 21, 2007. The provider is also known as Kimberly Rivers.

Where is Kimberly Williams located?

Kimberly Williams practices at 1399 Ashleybrook Ln Ste 100, Winston Salem, NC 27103. The listed phone number is (336) 774-2194.

What is Kimberly Williams's specialty?

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

When was this NPI record last updated?

The NPPES record for Kimberly Williams was last updated on January 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.