Individual provider Active NPI

Christian Elizabeth Williams, LMHC

  • Counselor
  • Worcester, MA
National Provider Identifier
1336333111
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
5654 Issued in MA
Practice address
425 Lake Ave N Ste 101
Worcester, MA 01605-2073
Phone
(087) 533-2205
Fax
(508) 753-3224
NPI assigned
Sep 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 5654 MA Primary

Addresses

Primary practice location

425 Lake Ave N Ste 101
Worcester, MA 01605-2073

Mailing address

425 Lake Ave N Ste 101
Worcester, MA 01605-2073
Phone (508) 753-3220

Other practice location 1

81 Plantation St
Worcester, MA 01604-3069
Phone (508) 849-5600 ext. 355

Other names 1

  • Christian Scannell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240118002081 MA Practitioner - Mental Health Counselor 1850743576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Psych Services LLCGroup PAC ID 2961667498, 19 clinicians

Practice addresses (Care Compare)

425 Lake Ave N
Suite 101
Worcester, MA 01605-2073
Phone (508) 753-3220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5654MAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Psych Services, LLC CurrentSince Jan 3, 2024 Accepting new patients

Locations

425 Lake Ave N
Ste 101
Worcester, MA 01605
Phone (508) 753-3220

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": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1336333111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 LAKE AVE N STE 101",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052073",
            "telephone_number": "508-753-3220",
            "fax_number": "508-753-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 LAKE AVE N STE 101",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052073",
            "telephone_number": "087-533-2205",
            "fax_number": "508-753-3224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "81 Plantation St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016043069",
            "country_code": "US",
            "telephone_number": "508-849-5600 x355",
            "fax_number": "508-849-5618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHRISTIAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-05",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "5654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTIAN",
            "last_name": "SCANNELL",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.