Individual provider Active NPI

Robyn Ann Williams, LPC

  • Professional Counselor
  • Sheboygan, WI
National Provider Identifier
1205111663
Registry record updated Oct 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4666-125 Issued in WI
Practice address
503 Wisconsin Ave
Suite 2
Sheboygan, WI 53081-4147
Phone
(920) 458-5726
Fax
(920) 458-5826
NPI assigned
Oct 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2011

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 4666-125 WI Primary

Addresses

Primary practice location

503 Wisconsin Ave
Suite 2
Sheboygan, WI 53081-4147

Mailing address

503 Wisconsin Ave
Suite 2
Sheboygan, WI 53081-4147
Phone (920) 458-5726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20240228002296 WI Practitioner - Mental Health Counselor 8527403690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agnesian Healthcare IncGroup PAC ID 1658289624, 392 clinicians

Practice addresses (Care Compare)

845 Parkside St
Ripon, WI 54971-8505
Phone (920) 748-3101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4666-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Agnesian Healthcare Inc CurrentSince Jan 1, 2024 Accepting new patients
Agnesian Healthcare, Inc CurrentSince Jan 1, 2024 Accepting new patients
Catholic Charities of the Archdiocese of Milwaukee Inc Past Accepting new patients
Agnesian Healthcare Inc Past Accepting new patients
Catholic Charities of the Archdiocese of Milwaukee Inc Past Accepting new patients

Locations

430 E Division St
Fond du Lac, WI 54935
Phone (920) 926-4200

525 E Pioneer Rd
Fond du Lac, WI 54935

420 E Division St
Fond du Lac, WI 54935
Phone (920) 923-7400

371 E 1st St
Fond du Lac, WI 54935
Phone (920) 907-3928

40 Camelot Dr
Fond du Lac, WI 54935
Phone (920) 907-8201

1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497

845 Parkside St
Ripon, WI 54971
Phone (920) 748-3101

Organizations & group practices 5

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": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1205111663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 WISCONSIN AVE",
            "address_2": "SUITE 2",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814147",
            "telephone_number": "920-458-5726",
            "fax_number": "920-458-5826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 WISCONSIN AVE",
            "address_2": "SUITE 2",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814147",
            "telephone_number": "920-458-5726",
            "fax_number": "920-458-5826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ROBYN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-18",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4666-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

Verify at the official NPI Registry.