KENNETHA WILLIAMS DNP, APRN, PMHNP-BC
NPI 1366787798
Nurse Practitioner - Psychiatric/Mental Health in Louisville, KY
About Kennetha Williams Dnp, Aprn, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETHA WILLIAMS DNP, APRN, PMHNP-BC (NPI 1366787798) is an individual psychiatric/mental health provider in Louisville, Kentucky, licensed in Kentucky (3013874) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Louisville, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kennetha Williams Dnp, Aprn, Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Kennetha Williams reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Louisville, KY 40204
- Reassigned Medicare billing, Kentucky enrollment
- 17 clinicians in this Medicare group
Louisville, KY 40223
- Reassigned Medicare billing, Kentucky enrollment
- 309 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kennetha Williams's NPI number?
The NPI number for Kennetha Williams is 1366787798. It was assigned to this individual provider in the NPPES registry on December 12, 2012.
Where is Kennetha Williams located?
Kennetha Williams practices at 633 Baxter Ave, Louisville, KY 40204. The listed phone number is (502) 309-2408.
What is Kennetha Williams's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kennetha Williams enrolled in Medicare?
Yes. Kennetha Williams is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kennetha Williams's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kennetha Williams reassigns Medicare benefits to 2 organizations: Mandala House, LLC (Louisville, KY) and Seven Counties Services, Inc. (Louisville, KY). Each 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 Kennetha Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kennetha Williams accept?
Health plans from Anthem Blue Cross and Blue Shield list Kennetha Williams as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kennetha Williams was last updated on March 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kennetha Williams, DNP, APRN, PMHNP-BC · NPI 1366787798
Psychiatric/Mental Health physician in Louisville, Kentucky. Individual provider, active in the CMS NPPES registry since December 12, 2012.
## Identity
- **NPI:** 1366787798 (Entity type: Individual)
- **Enumerated:** December 12, 2012
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 3013874 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 633 BAXTER AVE, Louisville, KY 40204-1157
- **Phone:** (502) 309-2408
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mandala House, LLC (NPI 1659829760, Louisville, KY); Seven Counties Services, Inc. (NPI 1598793671, Louisville, KY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** March 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1366787798) · Data from the CMS NPPES public registry.