Individual provider Active NPI

Cherrelle Monique Williams, M.A., LPC, LMFT

  • Counselor
  • Luling, LA
National Provider Identifier
1093213274
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
5373 Issued in LA
Practice address
999 Paul Fredrick Street
Luling, LA 70070
Phone
(504) 292-4892
NPI assigned
Jan 23, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1196 LA
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 5373 LA Primary

Addresses

Primary practice location

999 Paul Fredrick Street
Luling, LA 70070

Mailing address

PO Box 296
Luling, LA 70070-0296
Phone (504) 292-4892

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1196LAMDClinical Social Worker
5373LAMDAudiologist-Hearing Aid Fitter

Networks

  • LA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: cherrelle.williams.1@11331.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1093213274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 296",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700700296",
            "telephone_number": "504-292-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 PAUL FREDRICK STREET",
            "city": "LULING",
            "state": "LA",
            "postal_code": "70070",
            "telephone_number": "504-292-4892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHERRELLE",
        "middle_name": "MONIQUE",
        "name_prefix": "Ms.",
        "credential": "M.A., LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "1196",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "LA",
            "license": "5373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Luling, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; 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.