Shante Lenise Williams, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2551 Eltham Ave Ste a
Norfolk, VA 23513-2514

Phone

(757) 622-0700

Fax

(757) 622-2400

NPI assigned

Mar 18, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Practice roles

Locations

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.

• Life'S Journey

  • Adult Mental Health Clinic/Center
  • Norfolk, VA
  • NPI 1639533672
  Medicare reassignment NPD Authorized official
• Empowerpath Community Solutions

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Chesapeake, VA
  • NPI 1174461644
  NPD Authorized official
• Life'S Journey Support Services

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Norfolk, VA
  • NPI 1316885890
  NPD

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1407432735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 JACKSON AVE",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233242305",
            "telephone_number": "443-805-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 ELTHAM AVE STE A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235132514",
            "telephone_number": "757-622-0700",
            "fax_number": "757-622-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHANTE",
        "middle_name": "LENISE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "s.williams@lifesjourneyservices.com",
            "affiliation": "N",
            "endpointDescription": "Confidential secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2551 Eltham Ave Ste A",
            "city": "Norfolk",
            "state": "VA",
            "country_code": "US",
            "postal_code": "235132514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Paulette Linnell Williams
• Roderic Williams, LPC
• Ryan Patrick Williams, MD
• Samuel Williams, PA
• Scott S Williams, MD
• Star Williams
• Takeshia Vernice Williams, PH.D.
• Sarah Holzman Williamson, MD
• Denise Williford, LCSW
• Ayana Willis

• Mental Health Counselor in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.