Sebastion A Williams, M.S.ED., LCPC, CCM

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180-002011 Issued in IL

Practice address

P.O. Box 212
Hazel Crest, IL 60429

Phone

(708) 252-8228

Fax

(312) 829-0710

NPI assigned

Jan 29, 2008

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1114104437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 212",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "60429",
            "telephone_number": "708-252-8228",
            "fax_number": "312-829-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "P.O. BOX 212",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "60429",
            "telephone_number": "708-252-8228",
            "fax_number": "312-829-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SEBASTION",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "M.S.ED., LCPC, CCM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-29",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180-002011",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-02011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth L. West, FNP-BC
• Lorez White-Banks, LCSW
• David Wilk, MD
• Iris L Williams, LCSW
• Robina Renee Williams
• Daryel C. Wilson, RPH
• Dorothy B. Wilson, MHS, RD, LDN
• Mary Katherine Wilson, PA-C
• Nekeia M Wilson, LCSW
• Brooke Wold, DMS, PA-C

• Mental Health Counselor in Hazel Crest, IL
• Providers in Hazel Crest, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.