Individual provider Active NPI

Walter Williams, LPC

  • Professional Counselor
  • Madison, WI
National Provider Identifier
1598387086
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
2921 Landmark PL Ste 215
Madison, WI 53713-4248
Phone
(608) 957-7277
Fax
(608) 252-1333
NPI assigned
May 7, 2020
Last updated
Aug 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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 Primary

Addresses

Primary practice location

2921 Landmark PL Ste 215
Madison, WI 53713-4248

Mailing address

404 S 8TH St Ste 404
Opelika, AL 36801-4946
Phone (608) 957-7277

Other practice location 1

128 E Olin Ave Ste 100
Madison, WI 53713-1467
Phone (608) 252-1320

Other practice location 2

404 S 8th St Ste 404
Opelika, AL 36801-4946
Phone (608) 957-7277

Other identifiers 3

IdentifierTypeStateIssuer
8145-125OtherWITHE STATE OF WISCONSIN MARRIAGE AND FAMILY THERAPY, PROFESSIONAL COUNSELING, AND
LPC04958OtherALSTATE OF ALABAMA THE ALABAMA BOARD OF EXAMINERS IN COUNSELING
4442OtherWIWISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Think & Grow LLC Professional CurrentSince Jul 17, 2021 Accepting new patients
Family Service Madison Inc PastSince May 1, 2020 Accepting new patients

Locations

404 S 8th St
Ste 404
Opelika, AL 36801
Phone (608) 957-7277

2921 Landmark Pl
Ste 215
Madison, WI 53713
Phone (608) 301-5212

Organizations & group practices 2

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": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1598387086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 S 8TH ST STE 404",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368014946",
            "telephone_number": "608-957-7277",
            "fax_number": "608-252-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 LANDMARK PL STE 215",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537134248",
            "telephone_number": "608-957-7277",
            "fax_number": "608-252-1333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "128 E Olin Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537131467",
            "country_code": "US",
            "telephone_number": "608-252-1320",
            "fax_number": "608-252-1333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "404 S 8th St Ste 404",
            "address_purpose": "LOCATION",
            "city": "Opelika",
            "state": "AL",
            "postal_code": "368014946",
            "country_code": "US",
            "telephone_number": "608-957-7277",
            "fax_number": "608-252-1333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "WALTER",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-07",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE STATE OF WISCONSIN MARRIAGE AND FAMILY THERAPY, PROFESSIONAL COUNSELING, AND",
            "identifier": "8145-125",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ALABAMA THE ALABAMA BOARD OF EXAMINERS IN COUNSELING",
            "identifier": "LPC04958",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES",
            "identifier": "4442",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.