Individual provider Active NPI

Adam Donald Williams, LPC

  • Mental Health Counselor
  • Rocky Mount, VA
National Provider Identifier
1669737722
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701005256 Issued in VA
Practice address
30 Technology Dr
Rocky Mount, VA 24151-3008
Phone
(540) 483-5044
Fax
(540) 483-0583
NPI assigned
Jul 5, 2012
Last updated
Jul 26, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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 0701005256 VA Primary

Addresses

Primary practice location

30 Technology Dr
Rocky Mount, VA 24151-3008

Mailing address

30 Technology Dr
Rocky Mount, VA 24151-3008
Phone (434) 465-5252

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260623001076 VA Practitioner - Mental Health Counselor 5890268767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Virginia Commonwealth University, School of Medicine, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

302 Hickman Rd
Suite 101
Charlottesville, VA 22911-3572

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701005256VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Adam D. Williams PLLC Mental Health CurrentSince May 18, 2026 Accepting new patients
Piedmont Regional Community Services Board PastSince Apr 5, 2009 Accepting new patients

Locations

302 Hickman Rd
Ste 101
Charlottesville, VA 22911
Phone (434) 465-5252

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1669737722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 TECHNOLOGY DR",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241513008",
            "telephone_number": "434-465-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 TECHNOLOGY DR",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241513008",
            "telephone_number": "540-483-5044",
            "fax_number": "540-483-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ADAM",
        "middle_name": "DONALD",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-05",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701005256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, VA

Sources for this page

Verify at the official NPI Registry.