Sally A Williams, MA, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC6533 Issued in ME

Practice address

91 Camden St Ste 212
Rockland, ME 04841-2421

Phone

(208) 927-0287

Fax

(208) 927-0287

NPI assigned

May 15, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 5, 2025 through Jan 5, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1336316660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140",
            "city": "WALDOBORO",
            "state": "ME",
            "postal_code": "045720140",
            "telephone_number": "208-927-0287",
            "fax_number": "208-620-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 CAMDEN ST STE 212",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412421",
            "telephone_number": "208-927-0287",
            "fax_number": "208-927-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SALLY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MA, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "CC6533",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-6197",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "LCPC-6197",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "CC6533",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Robert White, CADC
• Thomas Jorgen White, DC
• Sarah Wilcox Minzy, MSW -CC
• Rachel Rivard Wilcox, NP
• Ann E Williams
• Melissa Ann Williamson, LMT
• William Tobey Williamson, L.AC.
• Travis J Wilson, PHARM.D.
• Andrew F Wisch, PH.D.
• Ian R C Witherby, LCSW

• Mental Health Counselor in Rockland, ME
• Providers in Rockland, ME by specialty
• Mental Health Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.