Individual provider Active NPI

Laura Beth Williams, LCPC

  • Mental Health Counselor
  • Frederick, MD
National Provider Identifier
1205505716
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC11879 Issued in MD
Practice address
5300 Westview Dr Ste 301
Frederick, MD 21703-8374
Phone
(240) 397-9590
NPI assigned
Sep 8, 2021
Last updated
Jan 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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 LC11879 MD Primary

Addresses

Primary practice location

5300 Westview Dr Ste 301
Frederick, MD 21703-8374

Mailing address

315 Selwyn Dr Apt 2B
Frederick, MD 21701-5935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Sep 24, 2024 through Sep 24, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC11879MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Authentic Clinical Counseling, LLC CurrentSince Jan 26, 2025 Accepting new patients
Pamela Shepp Counseling PastSince Jan 26, 2025 Accepting new patients
Vital Sources, LLC Professional PastSince Sep 1, 2021 Accepting new patients

Locations

5300 Westview Dr
Ste 301
Frederick, MD 21703
Phone (240) 397-8538

Organizations & group practices 3

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": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1205505716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 SELWYN DR APT 2B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 WESTVIEW DR STE 301",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217038374",
            "telephone_number": "240-397-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LAURA",
        "middle_name": "BETH",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC11879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.