Active NPI
Marlon C Williams, PHD, LPC, NCC, CPCS
- Mental Health Counselor
- Atlanta, GA
National Provider Identifier
1609583368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 012330
- Practice address
- 956 Beckwith St SW
Atlanta, GA 30314-3123 - Phone
- (404) 969-5670
- Fax
- (912) 809-4288
- NPI assigned
- Nov 2, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 012330 | GA | Primary |
Addresses
Primary practice location
956 Beckwith St SW
Atlanta, GA 30314-3123
Mailing address
4575 Webb Bridge Rd Ste 3086
Alpharetta, GA 30005-4256
Phone (404) 969-5670
Other practice location 1
1780 Century Blvd NE Ste B
Atlanta, GA 30345-3399
Phone (404) 969-5670
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012330 | GA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667606400000",
"number": "1609583368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4575 WEBB BRIDGE RD STE 3086",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300054256",
"telephone_number": "404-969-5670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "956 BECKWITH ST SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303143123",
"telephone_number": "404-969-5670",
"fax_number": "912-809-4288"
}
],
"practiceLocations": [
{
"address_1": "1780 Century Blvd NE Ste B",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303453399",
"country_code": "US",
"telephone_number": "404-969-5670",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "MARLON",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "PHD, LPC, NCC, CPCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-02",
"last_updated": "2022-11-05",
"certification_date": "2022-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "012330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.