KECIA WILLIAMS
NPI 1124635354
Counselor - Mental Health in Tupelo, MS

Q: What is Kecia Williams's NPI number?

The NPI number for Kecia Williams is 1124635354. It was assigned to this individual provider in the NPPES registry on October 1, 2020.

Q: What is Kecia Williams's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kecia Williams was last updated on October 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since October 01, 2020PECOS Enrolled

2434 S EASON BLVD, TUPELO, MS 38804(662) 640-4595(662) 680-6416 Get Directions Write a Review

NPPES record last updated: October 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kecia Williams NPPES

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

KECIA WILLIAMS (NPI 1124635354) is an individual mental health provider in Tupelo, Mississippi and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1124635354

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKECIA WILLIAMS

Location Address2434 S EASON BLVDTupelo, MS 38804-6942

Mailing Address2434 S Eason BlvdTupelo, MS 38804-6942 · (662) 640-4595 · Fax (662) 680-6416

Phone(662) 640-4595

Fax(662) 680-6416

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateOctober 1, 2020

NPPES CertifiedOctober 1, 2020

✔ NPI 1124635354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

2434 S EASON BLVD, Tupelo, MS 38804

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID345710554

PECOS Enrollment IDI20260529000313

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.

Other Providers at the Same Location NPPES 20

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

TIFFANY BROWN

Counselor (Mental Health)