Individual provider Active NPI

Carol Burnett Williams, LPC, MS, CMHT

  • Professional Counselor
  • Covington, LA
National Provider Identifier
1275833725
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5610 Issued in LA
Practice address
814 W 21St Ave
Covington, LA 70433-7405
Phone
(985) 520-2920
Fax
(866) 465-0075
NPI assigned
Nov 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 5610 LA
Counselor 101Y00000X 1698 MS
Marriage & Family Therapist 106H00000X 1922 MS
Professional Counselor 101YP2500X 5610 LA Primary

Addresses

Primary practice location

814 W 21St Ave
Covington, LA 70433-7405

Mailing address

814 W 21St Ave
Covington, LA 70433-7405
Phone (985) 520-2920

Other practice location 1

18635 Paddys Creek Trl
Katy, TX 77449-5994
Phone (985) 520-2920

Other identifiers 1

IdentifierTypeStateIssuer
3226456MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA, MS3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240919002167 TX Practitioner - Mental Health Counselor 3678017456 Reassigns benefits to 1 organization
I20241111003829 LA Practitioner - Mental Health Counselor 3678017456 Reassigns benefits to 1 organization
I20260406001664 MS Practitioner - Mental Health Counselor 3678017456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5610LAMDCounselor
1698MSMDCounselor
1922MSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Professional CurrentSince Aug 6, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1 Galleria Blvd
Ste 1900
Metairie, LA 70001
Phone (504) 332-8698

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Organizations & group practices 1

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": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1275833725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 W 21ST AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337405",
            "telephone_number": "985-520-2920",
            "fax_number": "866-465-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 W 21ST AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337405",
            "telephone_number": "985-520-2920",
            "fax_number": "866-465-0075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18635 Paddys Creek Trl",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774495994",
            "country_code": "US",
            "telephone_number": "985-520-2920",
            "fax_number": "866-465-0075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNETT WILLIAMS",
        "first_name": "CAROL",
        "credential": "LPC, MS, CMHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-01",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "LA",
            "license": "5610",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MS",
            "license": "1698",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MS",
            "license": "1922",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "5610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3226456",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.