Individual provider Active NPI

Dontay Chester Williams, LPC

  • Mental Health Counselor
  • Atlanta, GA
National Provider Identifier
1215599469
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC010513 Issued in GA
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

Updated by the provider on Sep 16, 2022

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260220002741 GA Practitioner - Mental Health Counselor 6305327040 Reassigns benefits to 3 organizations

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

LicenseStateTypeSpecialty
LPC010513GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health on Purpose CurrentSince Sep 20, 2022 Accepting new patients
Rhodium Care Group of Ga LLC CurrentSince Jan 6, 2026 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.

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

Verify at the official NPI Registry.