Individual provider Active NPI

Lachandra Lynn Williams, LPC

  • Mental Health Counselor
  • Crossett, AR
National Provider Identifier
1225508047
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P2009005 Issued in AR
Practice address
302 Main St
Crossett, AR 71635-2928
Phone
(870) 305-1221
Fax
(870) 364-9774
NPI assigned
Dec 5, 2018
Last updated
Jan 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A1807082 AR
Mental Health Counselor 101YM0800X P2009005 AR Primary

Addresses

Primary practice location

302 Main St
Crossett, AR 71635-2928

Mailing address

302 Main St
Crossett, AR 71635-2928
Phone (870) 305-1221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20241202002940 AR Practitioner - Mental Health Counselor 7214462118 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A1807082ARMDMental Health Counselor
P2009005ARMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Resolutions Behavioral Health Service, LLC. CurrentSince Sep 21, 2024 Accepting new patients
Quapaw House, Inc. PastSince Oct 21, 2018 Accepting new patients
Preferred Family Healthcare, Inc. Past Accepting new patients

Locations

302 Main St
Crossett, AR 71635
Phone (870) 305-1221

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": "1543968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1225508047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 MAIN ST",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716352928",
            "telephone_number": "870-305-1221",
            "fax_number": "870-364-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 MAIN ST",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716352928",
            "telephone_number": "870-305-1221",
            "fax_number": "870-364-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LACHANDRA",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-05",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A1807082",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P2009005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossett, AR

Sources for this page

Verify at the official NPI Registry.