Individual provider Active NPI

Sierra Williams, LPC

  • Professional Counselor
  • Carrollton, TX
National Provider Identifier
1053100834
Registry record updated Jun 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
92759 Issued in TX
Practice address
4125 Fairway Dr Ste 130
Carrollton, TX 75010-4161
Phone
(972) 885-1222
NPI assigned
May 6, 2025
Last updated
Jun 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 92759 TX Primary

Addresses

Primary practice location

4125 Fairway Dr Ste 130
Carrollton, TX 75010-4161

Mailing address

817 S Macarthur Blvd
Suite 115 #1051
Coppell, TX 75019
Phone (214) 586-0109

Other practice location 1

2021 Guadalupe St Ste 260
Austin, TX 78705-5654
Phone (214) 586-0109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
92759TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
LT Counseling CurrentSince Jun 15, 2025 Accepting new patients
Shine Medical Providers PC Past Accepting new patients

Locations

4125 Fairway Dr
Ste 130
Carrollton, TX 75010
Phone (972) 885-1222

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749859200000",
    "number": "1053100834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 S MACARTHUR BLVD",
            "address_2": "SUITE 115 #1051",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "75019",
            "telephone_number": "214-586-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 FAIRWAY DR STE 130",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104161",
            "telephone_number": "972-885-1222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2021 Guadalupe St Ste 260",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787055654",
            "country_code": "US",
            "telephone_number": "214-586-0109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SIERRA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-06-14",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "92759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2025; 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.