Individual provider Active NPI

Lakeba Hibbler Williams, LPC

  • Professional Counselor
  • Decatur, GA
National Provider Identifier
1033472642
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
4147 Flat Shoals Pkwy
Decatur, GA 30034
Phone
(334) 663-6481
NPI assigned
Jun 19, 2012
Last updated
Aug 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
3045ALMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Fresh Hope Counseling Center, LLC Professional CurrentSince Aug 18, 2019 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.

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.

Verify at the official NPI Registry.