Samuel Williams Jr., LPC-A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

89301 Issued in TX

Practice address

5431 Montgomery Rd
Midlothian, TX 76065-4836

Phone

(817) 948-5547

NPI assigned

Nov 28, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1649980962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 EVEREST CT",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042227",
            "telephone_number": "817-948-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5431 MONTGOMERY RD",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760654836",
            "telephone_number": "817-948-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SAMUEL",
        "name_suffix": "Jr.",
        "credential": "LPC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "89301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Wichterich, PT
• Jennifer Marie Wilding
• Lauren Wilkerson, PTA
• Judith Ann Williams
• Michael David Williams, D.O.
• Tavia Williams
• Rebekah Shea Willis, MS, LPC, PMH-C
• Wilna Springs LLC
• Carri Wilson
• Christopher Wilson, DC

• Mental Health Counselor in Midlothian, TX
• Providers in Midlothian, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.

Verify at the official NPI Registry.