Active NPI
Tracy Lane Williams, M.A.,LPC
- Professional Counselor
- Port Arthur, TX
National Provider Identifier
1558477463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 16904
- Practice address
- 3747 Doctor'S Drive
Port Arthur, TX 77642 - Phone
- (409) 983-7668
- Fax
- (409) 983-4761
- NPI assigned
- Aug 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 16904 | TX | Primary |
Addresses
Primary practice location
3747 Doctor'S Drive
Port Arthur, TX 77642
Mailing address
2331 Nottingham LN
Groves, TX 77619-4919
Phone (409) 983-7668
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16904 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558477463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2331 NOTTINGHAM LN",
"city": "GROVES",
"state": "TX",
"postal_code": "776194919",
"telephone_number": "409-983-7668",
"fax_number": "409-983-4761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3747 DOCTOR'S DRIVE",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "77642",
"telephone_number": "409-983-7668",
"fax_number": "409-983-4761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "TRACY",
"middle_name": "LANE",
"credential": "M.A.,LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "16904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Arthur, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.