Individual provider Active NPI

Eric Antoine Williams, LPCS, LMFT, BCC

  • Professional Counselor
  • Fayetteville, NC
National Provider Identifier
1396924502
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
S6948 Issued in NC
Practice address
5135 Morganton Rd Ste 201
Fayetteville, NC 28314-1525
Phone
(910) 364-9709
Fax
(877) 604-9199
NPI assigned
Oct 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1295 NC
Professional Counselor 101YP2500X S6948 NC Primary

Addresses

Primary practice location

5135 Morganton Rd Ste 201
Fayetteville, NC 28314-1525

Mailing address

PO Box 27620
Fayetteville, NC 28314-5043
Phone (910) 364-9709

Other practice location 1

106 Ridge View Dr Ste D
Cary, NC 27511-6647
Phone (910) 364-9709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S6948NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Family Services, PLLC Professional Past Accepting new patients

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": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1396924502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27620",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283145043",
            "telephone_number": "910-364-9709",
            "fax_number": "877-604-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5135 MORGANTON RD STE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141525",
            "telephone_number": "910-364-9709",
            "fax_number": "877-604-9199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Ridge View Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275116647",
            "country_code": "US",
            "telephone_number": "910-364-9709",
            "fax_number": "877-604-9199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ERIC",
        "middle_name": "ANTOINE",
        "name_prefix": "Dr.",
        "credential": "LPCS, LMFT, BCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-24",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1295",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "S6948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; 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.