Healthcare Provider Details

I. General information

NPI: 1457050981
Provider Name (Legal Business Name): JAMES KENNETH WILLIAMS LPCC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2023
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 S MAIN ST STE C
NICHOLASVILLE KY
40356-1868
US

IV. Provider business mailing address

800 S MAIN ST STE C
NICHOLASVILLE KY
40356-1868
US

V. Phone/Fax

Practice location:
  • Phone: 859-241-3892
  • Fax:
Mailing address:
  • Phone: 859-241-3892
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number283380
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number302204
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: