Individual provider Active NPI

Melissa Williams, MA, LMHC

  • Mental Health Counselor
  • Lakeland, FL
National Provider Identifier
1255875019
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH16937 Issued in FL
Practice address
4404 S Florida Ave Ste 2
Lakeland, FL 33813-2183
Phone
(863) 853-0705
NPI assigned
Dec 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2019

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 15459 FL
Mental Health Counselor 101YM0800X MH16937 FL Primary

Addresses

Primary practice location

4404 S Florida Ave Ste 2
Lakeland, FL 33813-2183

Mailing address

211 Doris Dr
Lakeland, FL 33813-1006
Phone (863) 607-6088

Other practice location 1

211 Doris Dr
Lakeland, FL 33813-1006
Phone (863) 607-6088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
15459FLMDMental Health Counselor
MH16937FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1255875019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 DORIS DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131006",
            "telephone_number": "863-607-6088",
            "fax_number": "863-607-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 S FLORIDA AVE STE 2",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132183",
            "telephone_number": "863-853-0705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 Doris Dr",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338131006",
            "country_code": "US",
            "telephone_number": "863-607-6088",
            "fax_number": "863-607-6089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MELISSA",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-14",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "15459",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.