David K Williams, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178012376 Issued in IL

Practice address

335 E Wood St
Suite B
Decatur, IL 62523-1285

Phone

(217) 422-6908

Fax

(217) 422-7103

NPI assigned

Apr 13, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pleasant Counseling LLC

  • Community/Behavioral Health Agency
  • Decatur, IL
  • NPI 1457846719
  NPD (past)

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1457885733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 E WOOD ST",
            "address_2": "SUITE B",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625231285",
            "telephone_number": "217-422-6908",
            "fax_number": "217-422-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 E WOOD ST",
            "address_2": "SUITE B",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625231285",
            "telephone_number": "217-422-6908",
            "fax_number": "217-422-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DAVID",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-13",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178012376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Wilcox, RD, LDN
• Ryan J Wilderman
• Yadesha Wiley
• Carlisha Williams
• Cycelya Williams, RBT
• Hailey Michelle Williams, RDN
• Jennifer Anne Williams, APRN
• Laura Diane Williams, LPC
• Nathan Dwayne Williams, M. S.
• Raymond Williams

• Professional Counselor in Decatur, IL
• Providers in Decatur, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; 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.