Active NPI
Lakeba Hibbler Williams, LPC
- Professional Counselor
- Decatur, GA
National Provider Identifier
1033472642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 4147 Flat Shoals Pkwy
Decatur, GA 30034 - Phone
- (334) 663-6481
- NPI assigned
- Jun 19, 2012
- Last updated
- Aug 12, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3045 | AL | |
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
4147 Flat Shoals Pkwy
Decatur, GA 30034
Mailing address
PO Box 361527
Decatur, GA 30036-1527
Phone (334) 663-6481
Other practice location 1
923 Stage Rd
Ste M-N
Auburn, AL 36830-5109
Phone (334) 663-1312
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3045 | AL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fresh Hope Counseling Center, LLC | Professional | Current | Accepting new patients |
Locations
4147 Flat Shoals Pkwy
Decatur, GA 30034
Phone (334) 663-6481
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Decatur, GA
- NPI 1194371666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1033472642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 361527",
"city": "DECATUR",
"state": "GA",
"postal_code": "300361527",
"telephone_number": "334-663-6481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4147 FLAT SHOALS PKWY",
"city": "DECATUR",
"state": "GA",
"postal_code": "30034",
"telephone_number": "334-663-6481"
}
],
"practiceLocations": [
{
"address_1": "923 Stage Rd",
"address_2": "STE M-N",
"address_purpose": "LOCATION",
"city": "Auburn",
"state": "AL",
"postal_code": "368305109",
"country_code": "US",
"telephone_number": "334-663-1312",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "LAKEBA",
"middle_name": "HIBBLER",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-19",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "3045",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.