Christine Williams

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC6864 Issued in MD

Practice address

6339 Ten Oaks Rd Ste 300
Clarksville, MD 21029-1155

Phone

(443) 904-1817

Fax

(410) 639-5246

NPI assigned

Mar 14, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Live.Balanced.Life.LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clarksville, MD
  • NPI 1801757232
  Medicare reassignment NPD Authorized official
• Live.Balanced.Life.LLC

  • Counselor
  • Clarksville, MD
  • NPI 1811483761
  NPD Authorized official
• Live.Balanced.Life.LLC

  • Community/Behavioral Health Agency
  • Clarksville, MD
  • NPI 1144181561
  NPD (past) Authorized official

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1053737908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6339 TEN OAKS RD STE 300",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291155",
            "telephone_number": "443-904-1817",
            "fax_number": "410-639-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6339 TEN OAKS RD STE 300",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291155",
            "telephone_number": "443-904-1817",
            "fax_number": "410-639-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-14",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC6864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carley Ward, OD
• Andriette D Watson, MS, CCC-SLP
• Mary Carol Wayda, LCSWC
• Rebecca Weinberg, ATC
• Kimberly Sue Weiss, PA
• Joseph Henry Wilson Jr., DDS
• Bridget Woodrow
• Winnie W Yau-Lam
• Alan R Zeman

• Professional Counselor in Clarksville, MD
• Providers in Clarksville, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.