Karissa Lavone Williams, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC008622 Issued in GA

Practice address

1 W Court SQ Ste 750
Decatur, GA 30030-2545

Phone

(404) 924-9387

NPI assigned

Sep 19, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1376894147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5893 EARLWANE DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300585619",
            "telephone_number": "404-909-5647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W COURT SQ STE 750",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302545",
            "telephone_number": "404-924-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KARISSA",
        "middle_name": "LAVONE",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2022-09-02",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Berry Albert Williams, D.D.S.
• Daron Williams, MSN, NP - C
• Deborah Ann Williams, RN
• Haley Williams, LPMT, MT-BC, NICU MT
• Jessica Williams, D.C.
• Kimberly S Williams, FNP-C
• Lakeba Hibbler Williams, LPC
• Laketa Clyde Williams, LCSW
• Latoya K Williams, LCSW
• Lauren Denisie Williams, LPC, M.A.

• Professional Counselor in Decatur, GA
• Providers in Decatur, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.