Active NPI
Carol Ann Williams, LICENSED PROFESSIONA
- Counselor
- Cordova, TN
National Provider Identifier
1417145756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC0000001665
- Practice address
- 1088 Rogers Rd
Cordova, TN 38018-8546 - Phone
- (901) 485-5350
- Fax
- (901) 485-5350
- NPI assigned
- Oct 11, 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC0000001665 | TN | Primary |
Addresses
Primary practice location
1088 Rogers Rd
Cordova, TN 38018-8546
Mailing address
1088 Rogers Road
Transformation Center
Cordova, TN 38018
Phone (901) 485-5350
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC0000001665 | TN | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415232000000",
"number": "1417145756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1088 ROGERS ROAD",
"address_2": "TRANSFORMATION CENTER",
"city": "CORDOVA",
"state": "TN",
"postal_code": "38018",
"telephone_number": "901-485-5350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1088 ROGERS RD",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380188546",
"telephone_number": "901-485-5350",
"fax_number": "901-485-5350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CAROL",
"middle_name": "ANN",
"credential": "LICENSED PROFESSIONA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-11",
"last_updated": "2014-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TN",
"license": "LPC0000001665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.