Martin Williams Jr.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A17916 Issued in NC

Practice address

1355 E Garrison Blvd Ste a
Gastonia, NC 28054-5143

Phone

(980) 430-9205

Fax

(704) 799-8949

NPI assigned

Dec 29, 2017

Last updated

Sep 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Northern Piedmont Counseling PLLC

  • Mental Health Counselor
  • Mooresville, NC
  • NPI 1740689538
  NPD

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

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1528575578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 CELANESE RD APT 212",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297320025",
            "telephone_number": "803-402-1459",
            "fax_number": "704-799-8949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 E GARRISON BLVD STE A",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545143",
            "telephone_number": "980-430-9205",
            "fax_number": "704-799-8949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARTIN",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-29",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A17916",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A17916",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Williams, CCC-SLP
• Jennifer Williams, MSW,LCSW-A
• Johnathan Deleon Williams, MD
• Katherine Williams, RPH
• Kiesha Victoria Williams, LMSW
• Melissa A Williams, LPC,CSI,CSAC
• Nerissa Williams
• Nichole Renee Williams
• Patrice Elizabeth Williams, MSW, LCSW
• Priscilla Ann Williams, LCSW

• Mental Health Counselor in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.