Calvin Demond Williams Sr., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701013813 Issued in VA

Practice address

548 Battlefield Blvd S
Chesapeake, VA 23322-5363

Phone

(757) 773-1351

Fax

(443) 320-9452

NPI assigned

Jul 31, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Integrity Mental Health Services, LLC

  • Community/Behavioral Health Agency
  • Norfolk, VA
  • NPI 1699512400
  NPD Authorized official
• Legacy Health Foundation

  • Community/Behavioral Health Agency
  • Norfolk, VA
  • NPI 1386479640
  NPD Authorized official

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1659100139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 GRANDY AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235092211",
            "telephone_number": "757-773-1351",
            "fax_number": "443-320-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 BATTLEFIELD BLVD S",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233225363",
            "telephone_number": "757-773-1351",
            "fax_number": "443-320-9452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3022 Tyre Neck Rd",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237034527",
            "country_code": "US",
            "telephone_number": "757-935-5355",
            "fax_number": "443-320-9452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CALVIN",
        "middle_name": "DEMOND",
        "name_suffix": "Sr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701013813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Williams-Tolliver, L.P.C.
• Andrea Jeanne Williams, RESIDENT IN COUNSELI
• Ann Marie Williams
• Aschanti Williams
• Bridgette C Williams, LPC, LSATP
• Cathryn Williams, RD, LD, CSP
• Catina Williams, LCSW
• Claudia Patricia Williams, CSAC
• Cynthia Williams
• Deleshia Williams, LCSW

• Professional Counselor in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.