Active NPI
Iesha Teresa Lee Williams, LCMHC, LCAS-A,
- Mental Health Counselor
- Cornelius, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 13797
- Practice address
- 19901 W Catawba Ave Ste 102
Cornelius, NC 28031-4040 - Phone
- (980) 217-8678
- NPI assigned
- Jun 25, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A13797 | NC | |
| Mental Health Counselor | 101YM0800X | 13797 | NC | Primary |
| Professional Counselor | 101YP2500X | A13797 | NC |
Addresses
Primary practice location
19901 W Catawba Ave Ste 102
Cornelius, NC 28031-4040
Mailing address
PO Box 748465
Atlanta, GA 30374-8465
Phone (855) 284-7483
Other practice location 1
8040 Georgia Ave Ste 170
Silver Spring, MD 20910-4959
Phone (202) 360-4787
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A13797 | NC | MD | Professional Counselor |
| 13797 | NC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thriveworks Clinical - North Carolina PC | Mental Health | Current | Accepting new patients |
| McLeod Centers for Wellbeing | Past | Accepting new patients |
Locations
119 SW Maynard Rd
Cary, NC 27511
Phone (919) 415-1112
19901 W Catawba Ave
Ste 102
Cornelius, NC 28031
Phone (804) 613-4812
1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263
Interoperability endpoints
- leslie.christman.p1@direct.daymarkrecovery.nextgenshare.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Raleigh, NC
- NPI 1003303082
-
dba Mindoula Health, Inc.
- Community/Behavioral Health Agency
- Silver Spring, MD
- NPI 1538717723
NC
-
- Community/Behavioral Health Agency
- Charlotte, NC
- NPI 1447438106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1023503828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748465",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303748465",
"telephone_number": "855-284-7483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19901 W CATAWBA AVE STE 102",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280314040",
"telephone_number": "980-217-8678"
}
],
"practiceLocations": [
{
"address_1": "8040 Georgia Ave Ste 170",
"address_purpose": "LOCATION",
"city": "Silver Spring",
"state": "MD",
"postal_code": "209104959",
"country_code": "US",
"telephone_number": "202-360-4787",
"fax_number": "202-360-4787",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "IESHA",
"middle_name": "TERESA LEE",
"credential": "LCMHC, LCAS-A,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-25",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A13797",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "13797",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A13797",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cornelius, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.