Lyn Williams

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

150104542 Issued in IL

Practice address

2663 Farragut Dr
Springfield, IL 62704-1462

Phone

(217) 621-9849

NPI assigned

Jul 30, 2020

Last updated

Aug 25, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• L. Williams Therapy, LLC

  • Clinical Social Worker
  • Springfield, IL
  • NPI 1568181527
  NPD Authorized official

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1346859733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 S WALNUT ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627042852",
            "telephone_number": "217-621-9849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2663 FARRAGUT DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627041462",
            "telephone_number": "217-621-9849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 W Main St",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "IL",
            "postal_code": "625231215",
            "country_code": "US",
            "telephone_number": "217-621-9849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LYN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-30",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "150104542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Lyn@lwilliamstherapy.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "230 W Main St",
            "city": "Decatur",
            "state": "IL",
            "country_code": "US",
            "postal_code": "625231215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emma Williams, LMT
• John Edward Williams, DMD
• Joseph L Williams, MD
• Joseph Wayne Williams, P.T.
• Linda Ann Williams, P.T.
• Molly Williams
• Rachelle D Williams, CRNA
• Reeza Nunup Williams
• Russell Williams, DMD, MS
• Sharon Williams, RN

• Mental Health Counselor in Springfield, IL
• Providers in Springfield, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.