Active NPI
Tiffanie W. Williams. LPC LLC
- Professional Counselor
- Woodstock, GA
National Provider Identifier
1043774615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tiffanie Williams, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003218462A | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | twilliams@counselingsecure.com | Direct |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Professional Counselor
- Woodstock, GA
- NPI 1952790727
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.