Individual provider Active NPI

Maketia Morrison-Williams, CAC

  • Addiction (Substance Use Disorder) Counselor
  • Deridder, LA
National Provider Identifier
1043867708
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1639 Issued in LA
Practice address
106 W Port St
Deridder, LA 70634-4040
Phone
(337) 462-1641
NPI assigned
Aug 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1639 LA Primary

Addresses

Primary practice location

106 W Port St
Deridder, LA 70634-4040

Mailing address

4105 Kirkman St
Lake Charles, LA 70607-4603
Phone (337) 475-3100

Other practice location 1

145 Hospital Dr
Oakdale, LA 71463-3034
Phone (337) 639-3001

Other practice location 2

2400 Texas Ave Unit 37776
Shreveport, LA 71133-5083
Phone (318) 232-8132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20260128000894 LA Practitioner - Mental Health Counselor 2769810076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imperial Calcasieu Human Services AuthorityGroup PAC ID 2860629839, 21 clinicians

Practice addresses (Care Compare)

106 W Port
Imcal Hsa Behavioral Health Beau
Deridder, LA 70634-4040
Phone (337) 462-1641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1639LAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Calcasieu Human Services Authority CurrentSince Dec 17, 2025 Accepting new patients
Imperial Calcasieu Human Services Authority CurrentSince Dec 17, 2025 Accepting new patients
Imperial Calcasieu Human Services Authority Past Accepting new patients
Imperial Calcasieu Human Services Authority Past Accepting new patients
Lake Wellness Center, LLC PastSince Aug 1, 2019 Accepting new patients
Changing Behaviors Counseling Agency, LLC Addiction (Substance Use Disorder) PastSince Nov 5, 2023 Accepting new patients

Locations

106 W Port St
Deridder, LA 70634
Phone (337) 462-1461

437 N Market St
Jennings, LA 70546
Phone (337) 246-7325

4105 Kirkman St
Lake Charles, LA 70607
Phone (337) 475-3100

145 Hospital Dr
Oakdale, LA 71463
Phone (337) 639-3001

2651 E Napoleon St
Sulphur, LA 70663
Phone (337) 625-6750

Organizations & group practices 6

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": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1043867708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 KIRKMAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706074603",
            "telephone_number": "337-475-3100",
            "fax_number": "337-475-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W PORT ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706344040",
            "telephone_number": "337-462-1641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Oakdale",
            "state": "LA",
            "postal_code": "714633034",
            "country_code": "US",
            "telephone_number": "337-639-3001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 Texas Ave Unit 37776",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711335083",
            "country_code": "US",
            "telephone_number": "318-232-8132",
            "fax_number": "318-670-8683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRISON-WILLIAMS",
        "first_name": "MAKETIA",
        "credential": "CAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "1639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deridder, LA

Sources for this page

Verify at the official NPI Registry.