Active NPI
Christine Daniel Williams, LCPC
- Professional Counselor
- Largo, MD
National Provider Identifier
1437341260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC0903
- Practice address
- 1400 Mercantile LN
Suite 206
Largo, MD 20774-5341 - Phone
- (301) 386-7722
- Fax
- (301) 386-7789
- NPI assigned
- Aug 15, 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ADD179 | DC | |
| Mental Health Counselor | 101YM0800X | PRC1018 | DC | |
| Mental Health Counselor | 101YM0800X | LC0903 | MD | |
| Professional Counselor | 101YP2500X | LC0903 | MD | Primary |
| Professional Counselor | 101YP2500X | PRC1018 | DC |
Addresses
Primary practice location
1400 Mercantile LN
Suite 206
Largo, MD 20774-5341
Mailing address
1400 Mercantile LN
Suite 206
Largo, MD 20774-5341
Phone (301) 386-7722
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200900500 | Medicaid | MD |
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 |
|---|---|---|---|
| ADD179 | DC | MD | Addiction (Substance Use Disorder) Counselor |
| PRC1018 | DC | MD | Professional Counselor |
| LC0903 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187136000000",
"number": "1437341260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 MERCANTILE LN",
"address_2": "SUITE 206",
"city": "LARGO",
"state": "MD",
"postal_code": "207745341",
"telephone_number": "301-386-7722",
"fax_number": "301-386-7789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 MERCANTILE LN",
"address_2": "SUITE 206",
"city": "LARGO",
"state": "MD",
"postal_code": "207745341",
"telephone_number": "301-386-7722",
"fax_number": "301-386-7789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CHRISTINE",
"middle_name": "DANIEL",
"name_prefix": "Mrs.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-15",
"last_updated": "2007-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "DC",
"license": "ADD179",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "DC",
"license": "PRC1018",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LC0903",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC0903",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "DC",
"license": "PRC1018",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200900500",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Largo, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.