Individual provider Active NPI

Mechal Noell Williams

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1619018587
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A11302 Issued in NC
Practice address
417 W Peace St Apt 500
Raleigh, NC 27603-5027
Phone
(919) 673-4419
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 11302
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X A11302 NC Primary

Addresses

Primary practice location

417 W Peace St Apt 500
Raleigh, NC 27603-5027

Mailing address

417 W Peace St Apt 500
Raleigh, NC 27603-5027
Phone (919) 673-4419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251103000358 NC Practitioner - Mental Health Counselor 9931698586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Charlotte, NC 28260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A11302NCMDMental Health Counselor
11302NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed CurrentSince Sep 8, 2025 Accepting new patients
Wakemed CurrentSince Sep 8, 2025 Accepting new patients
The Legacy Team LLC Past Accepting new patients

Locations

120 Healthplex Way
Apex, NC 27502
Phone (919) 235-6525

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

400 US 70 Hwy E
Garner, NC 27529
Phone (919) 235-6400

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

8001 T W Alexander Dr
Raleigh, NC 27617
Phone (919) 350-0953

2021 Wendell Valley Blvd
Wendell, NC 27591
Phone (919) 350-8137

Interoperability endpoints

  • Direct secure messaging: mechal.williams.p1@direct.bdihs.nextgenshare.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1619018587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 W PEACE ST APT 500",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276035027",
            "telephone_number": "919-673-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 W PEACE ST APT 500",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276035027",
            "telephone_number": "919-673-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MECHAL",
        "middle_name": "NOELL",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "11302",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A11302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.