Individual provider Active NPI

Elizabeth A Williams, MS, LCPC, CDVP

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1285878579
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.006971 Issued in IL
Practice address
180 N Stetson Ave
Suite 3500
Chicago, IL 60601-6710
Phone
(312) 268-5730
Fax
(312) 268-5801
NPI assigned
Apr 30, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.006971 IL Primary

Addresses

Primary practice location

180 N Stetson Ave
Suite 3500
Chicago, IL 60601-6710

Mailing address

180 N Stetson Ave
Suite 3500
Chicago, IL 60601-6710
Phone (312) 268-5730

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 Science

State licenses

LicenseStateTypeSpecialty
180.006971ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1285878579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 N STETSON AVE",
            "address_2": "SUITE 3500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606016710",
            "telephone_number": "312-268-5730",
            "fax_number": "312-268-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N STETSON AVE",
            "address_2": "SUITE 3500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606016710",
            "telephone_number": "312-268-5730",
            "fax_number": "312-268-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "MS, LCPC, CDVP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-30",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.006971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; 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.