Individual provider Active NPI

Carroll Ann Williams, LPC

  • Mental Health Counselor
  • Corpus Christi, TX
National Provider Identifier
1144238536
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
17160 Issued in TX
Practice address
5151 Flynn Pkwy Ste 412F
Corpus Christi, TX 78411-4367
Phone
(361) 960-4273
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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 17160 TX Primary

Addresses

Primary practice location

5151 Flynn Pkwy Ste 412F
Corpus Christi, TX 78411-4367

Mailing address

5151 Flynn Pkwy Ste 412F
Corpus Christi, TX 78411-4367
Phone (361) 960-4273

Other identifiers 1

IdentifierTypeStateIssuer
145050402MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240516001795 TX Practitioner - Mental Health Counselor 1052752458 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

Practice addresses (Care Compare)

5151 Flynn Pkwy
Suite 412F
Corpus Christi, TX 78411-4367
Phone (361) 290-9330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carroll Ann Williams LLC CurrentSince Apr 7, 2024 Accepting new patients
Family Health Care Support Services, Inc. Mental Health Past Accepting new patients

Locations

5151 Flynn Pkwy
Ste 412F
Corpus Christi, TX 78411
Phone (361) 290-9330

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1144238536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 FLYNN PKWY STE 412F",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114367",
            "telephone_number": "361-960-4273",
            "fax_number": "361-452-8359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 FLYNN PKWY STE 412F",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114367",
            "telephone_number": "361-960-4273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CARROLL",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "17160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145050402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.