Individual provider Active NPI

Christopher Williams, LPCA

  • Professional Counselor
  • Fayetteville, NC
National Provider Identifier
1629434469
Registry record updated Sep 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A11885 Issued in NC
Practice address
910 Arsenal Avenue Ste 202
Fayetteville, NC 28305-5398
Phone
(910) 853-2268
NPI assigned
Jan 9, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2017

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 A11885 NC Primary

Addresses

Primary practice location

910 Arsenal Avenue Ste 202
Fayetteville, NC 28305-5398

Mailing address

901 Arsenal Ave Ste 202
Fayetteville, NC 28305-5478
Phone (910) 853-2268

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
I20240329000451 NC Practitioner - Mental Health Counselor 5890133615 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A11885NCMDProfessional Counselor
11885NCMDAmbulatory Care Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Counseling, PLLC Professional Current Accepting new patients
Biblical Counseling Services CurrentSince Nov 7, 2023 Accepting new patients

Locations

901 Arsenal Ave
Ste 201
Fayetteville, NC 28305
Phone (910) 323-3368

901 Arsenal Ave
Ste 202
Fayetteville, NC 28305
Phone (910) 323-3368

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1452297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505088000000",
    "number": "1629434469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 ARSENAL AVE STE 202",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055478",
            "telephone_number": "910-853-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 ARSENAL AVENUE STE 202",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055398",
            "telephone_number": "910-853-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHRISTOPHER",
        "credential": "LPCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-09",
        "last_updated": "2017-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A11885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.