Individual provider Active NPI

Glorys Williams, LMHC

  • Mental Health Counselor
  • Brandon, FL
National Provider Identifier
1124788773
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
21965 Issued in FL
Practice address
776 W Lumsden Rd Ste 7
Brandon, FL 33511-8805
Phone
(813) 550-1219
Fax
(727) 609-9883
NPI assigned
Dec 22, 2021
Last updated
May 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 21965 FL Primary

Addresses

Primary practice location

776 W Lumsden Rd Ste 7
Brandon, FL 33511-8805

Mailing address

776 W Lumsden Rd Ste 7
Brandon, FL 33511-8805
Phone (813) 550-1219

Other names 1

  • Glorys De Jesus Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21965FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1124788773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 W LUMSDEN RD STE 7",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118805",
            "telephone_number": "813-550-1219",
            "fax_number": "727-609-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 W LUMSDEN RD STE 7",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118805",
            "telephone_number": "813-550-1219",
            "fax_number": "727-609-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "GLORYS",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-22",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "21965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLORYS",
            "last_name": "DE JESUS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.