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Deactivated NPI 1336758465 Deactivated / Inactive NPI Female Practitioner

Kendall Leigh Williams

Counselor - Professional • Olympia, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kendall Williams has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 24, 2020
NPI Deactivation Date June 05, 2024
Total Practice Duration ~4 Years of Practice (2020 – 2024)

Professional Overview & Biography Verified Profile Summary

Kendall Williams was a registered Counselor - Professional practicing in Olympia, WA. Throughout an active medical career spanning 4 years, Kendall Williams provided care at the practice location at 711 STATE AVE NE until profile deactivation on 2024-06-05.

Practice Location & Contact Primary Location

Practice Address

711 State Ave Ne

Olympia, WA 985063984

Telephone 3609400780
Associated Practice Facility / Clinic
🏢 Community Youth Services Facility NPI 1386997138

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Olympia, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.0 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
11 Specialists

Practicing in Olympia, WA (615 Statewide)

Telehealth Adoption Rate
9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License WA CP60911934

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Mary Coacher , LMHC-A

Counselor - Mental Health

NPI 1407213473

LMHCA

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 05, 2024

Record deactivated on June 05, 2024

NPI Profile Active July 24, 2020

NPI status registered as active in NPPES database

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Updated Practice Location July 24, 2020

Registered at 711 STATE AVE NE, OLYMPIA, WA 985063984 (Tel: 3609400780)

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Updated Business Mailing Address July 24, 2020

Registered at 711 STATE AVE NE, OLYMPIA, WA 985063984 (Tel: 3609400780)

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Provider Name / Credentials Updated July 24, 2020

Recorded as KENDALL WILLIAMS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2020

Counselor (License #CP60911934 in WA)

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Initial NPI Registration & Enumeration July 24, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336758465
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2020
Last Update: July 24, 2020
Deactivation Date: June 05, 2024

Mailing Address

711 State Ave Ne

Olympia, WA 985063984

Phone: 3609400780

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.