Individual provider Active NPI

Robert Williams, LPCMH, LCADC

  • Mental Health Counselor
  • Wilmington, DE
National Provider Identifier
1124508205
Registry record updated Jul 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC-0011232 Issued in DE
Practice address
16 Ball Farm Way
Wilmington, DE 19808-2021
Phone
(201) 259-8823
NPI assigned
Aug 17, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00208800 NJ
Mental Health Counselor 101YM0800X PC-0011232 DE Primary

Addresses

Primary practice location

16 Ball Farm Way
Wilmington, DE 19808-2021

Mailing address

16 Ball Farm Way
Wilmington, DE 19808-2021
Phone (201) 259-8823

Other practice location 1

5201 W Woodmill Dr Ste 31-32
Wilmington, DE 19808-4068
Phone (302) 384-7843

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
37LC00208800NJMDAddiction (Substance Use Disorder) Counselor
PC-0011232DEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clearer Perspectives Counseling LLC Addiction (Substance Use Disorder) CurrentSince Jul 10, 2022 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": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656720000000",
    "number": "1124508205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 BALL FARM WAY",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198082021",
            "telephone_number": "201-259-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 BALL FARM WAY",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198082021",
            "telephone_number": "201-259-8823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5201 W Woodmill Dr Ste 31-32",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198084068",
            "country_code": "US",
            "telephone_number": "302-384-7843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ROBERT",
        "credential": "LPCMH, LCADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-17",
        "last_updated": "2022-07-02",
        "certification_date": "2022-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00208800",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "PC-0011232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2022; 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.