Individual provider Active NPI

Daniela Dishaka Williams, LPC-A

  • Professional Counselor
  • Wilmington, NC
National Provider Identifier
1518448604
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A14028 Issued in NC
Practice address
1608 Queen St Ste 3
Wilmington, NC 28401-5527
Phone
(910) 442-6292
NPI assigned
Aug 27, 2018
Last updated
Oct 25, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A14028 NC Primary

Addresses

Primary practice location

1608 Queen St Ste 3
Wilmington, NC 28401-5527

Mailing address

208 Hibiscus Way
Wilmington, NC 28412-7510
Phone (910) 442-6292

Other practice location 1

208 Hibiscus Way
Wilmington, NC 28412-7510
Phone (910) 442-6292

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

LicenseStateTypeSpecialty
A14028NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A Place of Solace Counseling and Wellness, PLLC Professional Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1518448604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 HIBISCUS WAY",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284127510",
            "telephone_number": "910-442-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 QUEEN ST STE 3",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284015527",
            "telephone_number": "910-442-6292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 Hibiscus Way",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284127510",
            "country_code": "US",
            "telephone_number": "910-442-6292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DANIELA",
        "middle_name": "DISHAKA",
        "credential": "LPC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A14028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.