Joshua Williamson, MA, NCC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.013343 Issued in IL

Practice address

8801 N University St
Peoria, IL 61615-1635

Phone

(309) 676-0538

Fax

(309) 214-0096

NPI assigned

Sep 26, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Josh Williamson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Life Balance Counseling Peoria, PLLC

  • Marriage & Family Therapist
  • Peoria, IL
  • NPI 1467065672
  NPD (past)

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1477370773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 AVONDALE DR",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616111645",
            "telephone_number": "309-669-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 N UNIVERSITY ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151635",
            "telephone_number": "309-676-0538",
            "fax_number": "309-214-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "JOSHUA",
        "credential": "MA, NCC, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.013343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSH",
            "last_name": "WILLIAMSON",
            "credential": "MA, NCC, LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Macy Jane Williams
• Mark Anthony Williams, LPN
• Melissa Williams
• Peter Anthony Williams, MD
• Jeffrey L Williamson, MD
• Judith Lynn Williamson, RN, APRN-BC, FNP,
• Matthew Joseph Willis, APN
• Sue Willis, PTA
• Jennifer N Willman, CNP
• Delinda Demita Wills, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.