Individual provider Active NPI

David G Williams, LPC

  • Professional Counselor
  • Oneonta, AL
National Provider Identifier
1134456072
Registry record updated Nov 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2019 Issued in AL
Practice address
1002 2ND Ave E
Oneonta, AL 35121-2508
Phone
(205) 625-3882
NPI assigned
Nov 13, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2019 AL Primary

Addresses

Primary practice location

1002 2ND Ave E
Oneonta, AL 35121-2508

Mailing address

129 E Park Cir
Birmingham, AL 35235-3000
Phone (205) 836-7283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240124002247 AL Practitioner - Mental Health Counselor 3870946007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastside Mental Health Center IncGroup PAC ID 3577524362, 9 clinicians

Practice addresses (Care Compare)

1002 2ND Ave E
Oneonta, AL 35121-2508
Phone (205) 625-3882

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2019ALMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Eastside Mental Health Center Inc CurrentSince Jan 1, 2024 Accepting new patients
Eastside Mental Health Center PastSince Jan 1, 2024 Accepting new patients

Locations

129 E Park Cir
Birmingham, AL 35235
Phone (205) 836-7283

1002 2nd Ave E
Oneonta, AL 35121
Phone (205) 625-3882

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1258070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258070400000",
    "number": "1134456072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 E PARK CIR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353000",
            "telephone_number": "205-836-7283",
            "fax_number": "205-836-9594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 2ND AVE E",
            "city": "ONEONTA",
            "state": "AL",
            "postal_code": "351212508",
            "telephone_number": "205-625-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DAVID",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-13",
        "last_updated": "2009-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "2019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneonta, AL

Sources for this page

Verify at the official NPI Registry.