Individual provider Active NPI

C. Lavonice Williams, M.A., LPC

  • Mental Health Counselor
  • Collierville, TN
National Provider Identifier
1396969440
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1798 Issued in TN
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1798TNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wholeheart Women'S Christian Counseling Inc. Mental Health CurrentSince Sep 15, 2019 Accepting new patients
Wholeheart Women'S Christian Counseling PLLC Mental Health CurrentSince Aug 18, 2024 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.

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.

Verify at the official NPI Registry.