Active NPI
C. Lavonice Williams, M.A., LPC
- Mental Health Counselor
- Collierville, TN
National Provider Identifier
1396969440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1798
- Practice address
- 311 Poplar View LN W
Collierville, TN 38017-3175 - Phone
- (901) 481-0689
- NPI assigned
- Apr 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1798 | TN | Primary |
Addresses
Primary practice location
311 Poplar View LN W
Collierville, TN 38017-3175
Mailing address
1784 Elk River Dr
Collierville, TN 38017-3422
Phone (901) 854-8529
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1798 | TN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wholeheart Women'S Christian Counseling Inc. | Mental Health | Current | Accepting new patients |
| Wholeheart Women'S Christian Counseling PLLC | Mental Health | Current | Accepting new patients |
Locations
8570 Cordes Cir
Ste 10
Germantown, TN 38139
Phone (901) 483-3660
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Germantown, TN
- NPI 1083263016
-
- Mental Health Counselor
- Germantown, TN
- NPI 1316778350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396969440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1784 ELK RIVER DR",
"city": "COLLIERVILLE",
"state": "TN",
"postal_code": "380173422",
"telephone_number": "901-854-8529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 POPLAR VIEW LN W",
"city": "COLLIERVILLE",
"state": "TN",
"postal_code": "380173175",
"telephone_number": "901-481-0689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "C. LAVONICE",
"name_prefix": "Mrs.",
"credential": "M.A., LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "1798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Collierville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.