Chavon Cecily Williams, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

78009 Issued in TX

Practice address

4006 Redwood Hill CT
Fresno, TX 77545-8726

Phone

(832) 901-4846

NPI assigned

Apr 15, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Mackenzie Mental Health and Wellness, LLC

  • Mental Health Counselor
  • Houston, TX
  • NPI 1144944257
  NPD Authorized official
• Bright Beginnings Mental Health and Behavioral Solutions

  • Case Management Agency
  • Houston, TX
  • NPI 1386453702

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1104445543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 REDWOOD HILL CT",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775458726",
            "telephone_number": "832-901-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4006 REDWOOD HILL CT",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775458726",
            "telephone_number": "832-901-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHAVON",
        "middle_name": "CECILY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "78009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "78009",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "URL",
            "affiliation": "N",
            "endpointDescription": "Health Exchange",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "URL",
            "address_1": "4006 Redwood Hill Ct",
            "city": "Fresno",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775458726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brad Webb
• Tamika Alonzo White, LMSW
• Will Logistics LLC
• Gwendolyn Williams Doaks, CCC-SLP
• April N Williams
• Erica Williams, LMSW
• Jarrett James Williams Sr.
• Willis & Co. Transport, LLC
• Angela H. Willis
• Keith C Wilson, LSA

• Mental Health Counselor in Fresno, TX
• Providers in Fresno, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.