Active NPI
Dontay Chester Williams, LPC
- Mental Health Counselor
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC010513
- Practice address
- 6385 Old National Hwy Ste 120
Atlanta, GA 30349-4347 - Phone
- (267) 210-6590
- NPI assigned
- Jul 8, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC010513 | GA | Primary |
Addresses
Primary practice location
6385 Old National Hwy Ste 120
Atlanta, GA 30349-4347
Mailing address
6385 Old National Hwy Ste 120
Atlanta, GA 30349-4347
Phone (267) 210-6590
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7877 Willow Chase Blvd
Houston, TX 77070-5934
831 Bedford Ave
Suite 530
Brooklyn, NY 11205-2801
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC010513 | GA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health on Purpose | Current | Accepting new patients | |
| Rhodium Care Group of Ga LLC | Current | Accepting new patients |
Locations
6385 Old National Hwy
Ste 120
Atlanta, GA 30349
Phone (267) 210-6590
922 McDonough Rd
Jackson, GA 30233
Phone (770) 775-7832
2013 Cedarbridge Ave
Lakewood, NJ 08701
Organizations & group practices 4
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.
-
- Psychologist
- Jackson, GA
- NPI 1649148859
-
- Health Service Clinic/Center
- Atlanta, GA
- NPI 1417679325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663286400000",
"number": "1215599469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6385 OLD NATIONAL HWY STE 120",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303494347",
"telephone_number": "267-210-6590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6385 OLD NATIONAL HWY STE 120",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303494347",
"telephone_number": "267-210-6590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "DONTAY",
"middle_name": "CHESTER",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-08",
"last_updated": "2022-09-16",
"certification_date": "2022-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC010513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.