Nicole S. Williams, LPC, MA,BA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2913 Issued in CT

Practice address

210 S Main St
Middletown, CT 06457-3764

Phone

(203) 806-0820

NPI assigned

Dec 28, 2012

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts, Master of Arts

Interoperability endpoints

• Direct secure messaging: nicole.skonieczny.p1@direct.wheelerclinic.nextgenshare.com
• Direct secure messaging: nicole.williams@chcict.eclinicaldirectplus.com

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

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1306182027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S MAIN ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573764",
            "telephone_number": "203-806-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S MAIN ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573764",
            "telephone_number": "203-806-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "NICOLE",
        "middle_name": "S.",
        "credential": "LPC, MA,BA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-28",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "2913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13759277",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Wille, ATC
• Chloe Williams, LCSW
• David Dean Williams, LMSW
• Jerilyn Sue Williams, MD
• John D Williams, MD
• Charlotte Wilson, RDH
• Myshala Wilson, LPC
• Tammy Wilson
• Charles W. Wiltsie III, LMT
• Craig Winderman, M.D.

• Professional Counselor in Middletown, CT
• Providers in Middletown, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.