Roberta Susan Williams, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.006128 Issued in IL

Practice address

28 Chick St
Metropolis, IL 62960-2467

Phone

(618) 524-2176

NPI assigned

May 24, 2024

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

Enrolled in IL

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

Specialty

Mental Health Counselor

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Massac Memorial HospitalGroup PAC ID 3072422799, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Massac Memorial Hospital

  • Critical Access Hospital
  • Metropolis, IL
  • NPI 1790788578
  Medicare reassignment Care Compare group NPD
• Massac Memorial Hospital

  • Rural Health Clinic/Center
  • Metropolis, IL
  • NPI 1356968275
  NPD
• Massac Memorial Hospital

  • Ambulance
  • Metropolis, IL
  • NPI 1801941968
  NPD
• Massac Memorial Hospital

  • Rural Health Clinic/Center
  • Metropolis, IL
  • NPI 1740355809
  NPD (past)

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1245079680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N OAK ST",
            "city": "DE SOTO",
            "state": "IL",
            "postal_code": "629241223",
            "telephone_number": "618-713-6842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CHICK ST",
            "city": "METROPOLIS",
            "state": "IL",
            "postal_code": "629602467",
            "telephone_number": "618-524-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ROBERTA",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.006128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Werner, BS
• Debra Diane Wessel
• Stacey Westbrooks
• Fred White, D.C.
• Randy Ray Wientjes, C.R.N.A.
• Mallory Renee Wittig, FNP
• Blake M Woods, DNP, APN, AGNP-C
• Jessica Jean Wright, APRN

• Professional Counselor in Metropolis, IL
• Providers in Metropolis, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.

Verify at the official NPI Registry.