Active NPI
Courtney Jukel Williams, LPCA
- Professional Counselor
- Florence, SC
National Provider Identifier
1043056724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 11945
- Practice address
- 600 Senior Way
Florence, SC 29505-6080 - Phone
- (888) 918-2415
- Fax
- (888) 489-1793
- NPI assigned
- Jul 2, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 11945 | SC | |
| Professional Counselor | 101YP2500X | 11945 | SC | Primary |
| Doula | 374J00000X |
Addresses
Primary practice location
600 Senior Way
Florence, SC 29505-6080
Mailing address
600 Senior Way
Florence, SC 29505-6080
Phone (888) 918-2415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
510 2ND Loop Rd
Suite 12056
Florence, SC 29504-4402
510 2ND Loop Rd
Suite 12056
Florence, SC 29505-9998
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8910 | SC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moore Care Therapy and Psychology Clinic | Current | Accepting new patients |
Locations
600 Senior Way
Florence, SC 29505
Phone (843) 799-1067
436 W Palmetto St
Ste D
Florence, SC 29501
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 and National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Florence, SC
- NPI 1619629375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789171200000",
"number": "1043056724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 SENIOR WAY",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295056080",
"telephone_number": "888-918-2415",
"fax_number": "888-489-1793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 SENIOR WAY",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295056080",
"telephone_number": "888-918-2415",
"fax_number": "888-489-1793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "COURTNEY",
"middle_name": "JUKEL",
"name_prefix": "Ms.",
"credential": "LPCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-02",
"last_updated": "2026-09-12",
"certification_date": "2026-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "11945",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "11945",
"primary": true
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.