Individual provider Active NPI

Alysia Williams McGlone

  • Counselor
  • Burlington, NC
National Provider Identifier
1104405224
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
A15930 Issued in NC
Practice address
2224 Lacy St
Burlington, NC 27215-5341
Phone
(336) 494-5743
NPI assigned
Apr 6, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X A15930 NC Primary

Addresses

Primary practice location

2224 Lacy St
Burlington, NC 27215-5341

Mailing address

628 Hertford LN
Graham, NC 27253-4444
Phone (828) 612-3372

Other practice location 1

137 Buckhill Village Dr Apt 206
Burlington, NC 27215-8258
Phone (336) 446-9746

Other names 1

  • Alysia Nicole Williams Former name

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
A15930NCMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Embodied Moments Counseling Services, PLLC Current Accepting new patients

Organizations & group practices 1

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": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1104405224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 HERTFORD LN",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272534444",
            "telephone_number": "828-612-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 LACY ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155341",
            "telephone_number": "336-494-5743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "137 Buckhill Village Dr Apt 206",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NC",
            "postal_code": "272158258",
            "country_code": "US",
            "telephone_number": "336-446-9746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGLONE",
        "first_name": "ALYSIA",
        "middle_name": "WILLIAMS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "A15930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSIA",
            "last_name": "WILLIAMS",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.