Individual provider Active NPI

Latania Sherrell Williams McAdoo, LCMHS-S

  • Professional Counselor
  • Charlotte, NC
National Provider Identifier
1205256922
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A9887 Issued in NC
Practice address
1914 J N Pease PL # 104
Charlotte, NC 28262-4504
Phone
(704) 247-7638
Fax
(980) 220-4657
NPI assigned
Apr 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X S9887 NC
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 23357 CA
Professional Counselor 101YP2500X A9887 NC Primary

Addresses

Primary practice location

1914 J N Pease PL # 104
Charlotte, NC 28262-4504

Mailing address

11000 Fountaingrove Dr
Charlotte, NC 28262-6451
Phone (704) 649-9068

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
997NCMDProfessional Counselor
A9887NCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1205256922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 FOUNTAINGROVE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282626451",
            "telephone_number": "704-649-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 J N PEASE PL # 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624504",
            "telephone_number": "704-247-7638",
            "fax_number": "980-220-4657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS MCADOO",
        "first_name": "LATANIA",
        "middle_name": "SHERRELL",
        "credential": "LCMHS-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-21",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "S9887",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "23357",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A9887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.