Individual provider Active NPI

Rodney Joseph Williams, LPC

  • Professional Counselor
  • Columbia, SC
National Provider Identifier
1033579685
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6922 Issued in SC
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

Updated by the provider on Aug 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
6922SCMDSpeech-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.

Verify at the official NPI Registry.