Organization Active NPI

Tiffanie W. Williams. LPC LLC

  • Professional Counselor
  • Woodstock, GA
National Provider Identifier
1043774615
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
TIFFANIE W. WILLIAMS. LPC LLC
Practice address
251 River Park North Dr
Woodstock, GA 30188-7835
Phone
(470) 531-8400
Fax
(470) 531-8484
NPI assigned
Jan 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Authorized official

Name
Tiffanie Williams, LPCNPI 1952790727
Title
Ceo
Phone
(470) 531-8400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

251 River Park North Dr
Woodstock, GA 30188-7835

Mailing address

12195 Hwy 92, Ste. 114
#341
Woodstock, GA 30188
Phone (470) 531-8400

Other identifiers 1

IdentifierTypeStateIssuer
003218462AMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address twilliams@counselingsecure.com Direct

National Provider Directory

National Provider Directory

Locations

12195 Highway 92
Ste 114
Woodstock, GA 30188
Phone (404) 482-2454

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1043774615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12195 HWY 92, STE. 114",
            "address_2": "#341",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "30188",
            "telephone_number": "470-531-8400",
            "fax_number": "470-531-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 RIVER PARK NORTH DR",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301887835",
            "telephone_number": "470-531-8400",
            "fax_number": "470-531-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANIE W. WILLIAMS. LPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-28",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TIFFANIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "470-531-8400",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003218462A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "twilliams@counselingsecure.com",
            "affiliation": "N",
            "endpointDescription": "business email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12195 Hwy 92, Ste. 114",
            "address_2": "#341",
            "city": "Woodstock",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.