Bertha Davis-Williams, PH.D., LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3629 Issued in LA

Practice address

156 Airline Avenue
Gramercy, LA 70052-0933

Phone

(225) 623-9751

Fax

(225) 869-8758

NPI assigned

Jan 10, 2012

Last updated

Jan 10, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Saint James Community Fresh Start Program Inc

  • Community/Behavioral Health Agency
  • Gramercy, LA
  • NPI 1750556015
  Authorized official Same address or phone
• St James Community Fresh Start Program

  • Counselor
  • Gramercy, LA
  • NPI 1932316221
  Authorized official Same address or phone

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1225308174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 933",
            "city": "GRAMERCY",
            "state": "LA",
            "postal_code": "700520933",
            "telephone_number": "225-623-9751",
            "fax_number": "225-869-8758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 AIRLINE AVENUE",
            "city": "GRAMERCY",
            "state": "LA",
            "postal_code": "700520933",
            "telephone_number": "225-623-9751",
            "fax_number": "225-869-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS-WILLIAMS",
        "first_name": "BERTHA",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "3629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Gramercy, LA
• Providers in Gramercy, LA by specialty
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.