Active NPI
Carol Burnett Williams, LPC, MS, CMHT
- Professional Counselor
- Covington, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5610
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3226456 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, LA, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5610 | LA | MD | Counselor |
| 1698 | MS | MD | Counselor |
| 1922 | MS | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Professional | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.