Amy Williams, LPCC, CCFC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

005527 Issued in NM

Practice address

1219 Gusdorf Rd Ste E
Taos, NM 87571-6499

Phone

(575) 770-9581

NPI assigned

Jan 24, 2007

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 1

Medicare fee-for-service enrollment

Enrolled in NM

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lozen & Company, LLC

  • Mental Health Counselor
  • Ranchos de Taos, NM
  • NPI 1275216384
  Medicare reassignment NPD

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1356496061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1293",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875711293",
            "telephone_number": "575-770-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 GUSDORF RD STE E",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716499",
            "telephone_number": "575-770-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "AMY",
        "credential": "LPCC, CCFC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": "F18506",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "005527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10859519",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra W Whitney
• Theodore John Wiard, LPCC
• Kristin Wight
• Winston Wilde, MFC
• Page Willauer, DOULA
• Charles M Williams
• Michelle Williams
• Sandra Elaine Williams, LISW
• Claudia Wilsey-Gopp, LCSW
• Carolyn Denise Wilson, LMHC

• Professional Counselor in Taos, NM
• Providers in Taos, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.