Individual provider Active NPI

Courtney Jukel Williams, LPCA

  • Professional Counselor
  • Florence, SC
National Provider Identifier
1043056724
Registry record updated Sep 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
11945 Issued in SC
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

Updated by the provider on Sep 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260612001854 SC Practitioner - Mental Health Counselor 7719419118 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
8910SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Moore Care Therapy and Psychology Clinic CurrentSince May 4, 2026 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.

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

Verify at the official NPI Registry.