Individual provider Active NPI

Brandon Williams, LCMHCA

  • Mental Health Counselor
  • Davidson, NC
National Provider Identifier
1649956582
Registry record updated Dec 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A18875 Issued in NC
Practice address
709 Northeast Dr Ste 22
Davidson, NC 28036-7425
Phone
(704) 912-4095
Fax
(704) 943-0512
NPI assigned
Jun 26, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A18875 NC Primary

Addresses

Primary practice location

709 Northeast Dr Ste 22
Davidson, NC 28036-7425

Mailing address

709 Northeast Dr Ste 22
Davidson, NC 28036-7425
Phone (704) 931-8120

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

State licenses

LicenseStateTypeSpecialty
A18875NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Camel City Counseling PLLC Mental Health PastSince Jul 1, 2023 Accepting new patients

Organizations & group practices 1

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": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765065600000",
    "number": "1649956582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 NORTHEAST DR STE 22",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280367425",
            "telephone_number": "704-931-8120",
            "fax_number": "704-943-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 NORTHEAST DR STE 22",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280367425",
            "telephone_number": "704-912-4095",
            "fax_number": "704-943-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BRANDON",
        "credential": "LCMHCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-26",
        "last_updated": "2025-12-07",
        "certification_date": "2025-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A18875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davidson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2025; 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.