Individual provider Active NPI

Monica Donnell Williams, LPC NCC LCDC

  • Professional Counselor
  • Porter, TX
National Provider Identifier
1629460324
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
89979 Issued in TX
Practice address
23461 Highway 59 Apt 723
Porter, TX 77365-5155
Phone
(757) 450-3187
NPI assigned
Mar 4, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701006105 VA
Professional Counselor 101YP2500X 89979 TX Primary

Addresses

Primary practice location

23461 Highway 59 Apt 723
Porter, TX 77365-5155

Mailing address

23461 Highway 59 Apt 723
Porter, TX 77365-5155
Phone (757) 450-3187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20231208001715 TX Practitioner - Mental Health Counselor 1951750421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Center of Southeast TexasGroup PAC ID 9739195041, 18 clinicians

Practice addresses (Care Compare)

11 Woodland Park Dr
Health Ctr of SE TX Shepherd
Shepherd, TX 77371-7737
Phone (936) 628-1100

307 N William Barnett Ave
Cleveland, TX 77327-4061
Phone (281) 592-2224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
89979TXMDProfessional Counselor
0701006105VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Health Center of Southeast Texas CurrentSince Jan 1, 2024 Accepting new patients
Health Center of Southeast Texas CurrentSince Jan 1, 2024 Accepting new patients
Health Center of Southeast Texas Past Accepting new patients

Locations

307 N William Barnett Ave
Cleveland, TX 77327
Phone (281) 592-2224

2206 N Cleveland St
Dayton, TX 77535
Phone (281) 592-2224

204 W Park
Ste 200
Livingston, TX 77352
Phone (936) 327-4660

204 W Park
Ste 100
Livingston, TX 77352

11 Woodland Park Dr
Shepherd, TX 77371
Phone (936) 628-1100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIDFAA

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": "1425427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1629460324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23461 HIGHWAY 59 APT 723",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773655155",
            "telephone_number": "757-450-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23461 HIGHWAY 59 APT 723",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773655155",
            "telephone_number": "757-450-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MONICA",
        "middle_name": "DONNELL",
        "credential": "LPC NCC LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-04",
        "last_updated": "2024-07-15",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701006105",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "89979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porter, TX

Sources for this page

Verify at the official NPI Registry.