Active NPI
Rodney Joseph Williams, LPC
- Professional Counselor
- Columbia, SC
National Provider Identifier
1033579685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6922
- Practice address
- 141 Stoneridge Dr
Columbia, SC 29210 - Phone
- (803) 569-4985
- NPI assigned
- Feb 24, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6922 | SC | Primary |
Addresses
Primary practice location
141 Stoneridge Dr
Columbia, SC 29210
Mailing address
538 Newton Rd
Irmo, SC 29063-2948
Phone (803) 269-2869
Other practice location 1
1053 Center St
West Columbia, SC 29169-6749
Phone (803) 520-5940
Other practice location 2
128 Library Hill Ln
Lexington, SC 29072-3893
Phone (803) 520-5920
Other practice location 3
538 Newton Rd
Irmo, SC 29063-2948
Phone (803) 422-0249
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 |
|---|---|---|---|
| 6922 | SC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534118400000",
"number": "1033579685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "538 NEWTON RD",
"city": "IRMO",
"state": "SC",
"postal_code": "290632948",
"telephone_number": "803-269-2869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 STONERIDGE DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29210",
"telephone_number": "803-569-4985"
}
],
"practiceLocations": [
{
"address_1": "1053 Center St",
"address_purpose": "LOCATION",
"city": "West Columbia",
"state": "SC",
"postal_code": "291696749",
"country_code": "US",
"telephone_number": "803-520-5940",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "128 Library Hill Ln",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "SC",
"postal_code": "290723893",
"country_code": "US",
"telephone_number": "803-520-5920",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "538 Newton Rd",
"address_purpose": "LOCATION",
"city": "Irmo",
"state": "SC",
"postal_code": "290632948",
"country_code": "US",
"telephone_number": "803-422-0249",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "RODNEY",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-24",
"last_updated": "2018-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "SC",
"license": "6922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.