Dominic Williams, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC13054 Issued in MD

Practice address

1829 Reisterstown Rd Ste 350
Pikesville, MD 21208-7126

Phone

(443) 955-2662

NPI assigned

Aug 21, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Medicare enrollment (NPD)

Enrolled

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.

• Divine Counseling LLC

  • Clinical Social Worker
  • Owings Mills, MD
  • NPI 1184291155
  Medicare reassignment NPD
• Divine Counseling LLC

  • Community/Behavioral Health Agency
  • Owings Mills, MD
  • NPI 1407537186
  NPD

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686355200000",
    "number": "1053923839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6029 DUCKEYS RUN RD",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756193",
            "telephone_number": "443-388-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 REISTERSTOWN RD STE 350",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212087126",
            "telephone_number": "443-955-2662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Crossroads Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Owings Mills",
            "state": "MD",
            "postal_code": "211175480",
            "country_code": "US",
            "telephone_number": "410-356-2007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2603 N Rolling Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Windsor Mill",
            "state": "MD",
            "postal_code": "212441975",
            "country_code": "US",
            "telephone_number": "410-298-4642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DOMINIC",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-21",
        "last_updated": "2023-06-10",
        "certification_date": "2023-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC13054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aleia Monet' Williams
• Anna Marie Williams, LCSW
• Ashley Williams
• Denise Williams
• Diamond Shanay Williams
• Dominique Williams
• Grace Payton Williams
• Hailey Denise Williams
• Iesha Shanika Williams
• Jackie L Williams

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.