Individual provider Active NPI

Mia Nichole Lanier-Williams, LMFT

  • Marriage & Family Therapist
  • Kinston, NC
National Provider Identifier
1669749420
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1458 Issued in NC
Practice address
2902 N Herritage St Ste a
Kinston, NC 28501-1580
Phone
(252) 686-5020
NPI assigned
Nov 22, 2011
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1458 NC Primary

Addresses

Primary practice location

2902 N Herritage St Ste a
Kinston, NC 28501-1580

Mailing address

1183 Dogwood Ridge Dr
Winterville, NC 28590-8783
Phone (910) 546-1627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20250221002455 NC Practitioner - Marriage and Family Therapist 3678093556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pride in North Carolina LLCGroup PAC ID 9638105869, 34 clinicians

Practice addresses (Care Compare)

231 Commerce St
Greenville, NC 27858-5029
Phone (252) 321-8080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1458NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pride in North Carolina, LLC CurrentSince Feb 18, 2025 Accepting new patients
Pride in North Carolina, LLC CurrentSince Feb 18, 2025 Accepting new patients
The Family Wellness Center PLLC Marriage & Family Therapist Past Accepting new patients

Locations

208 Malloy St
Ste B
Goldsboro, NC 27534
Phone (984) 520-6080

231 Commerce St
Greenville, NC 27858
Phone (252) 321-8080

2902 N Herritage St
#A
Kinston, NC 28501
Phone (252) 520-6740

5710 Oleander Dr
Ste 112
Wilmington, NC 28403
Phone (910) 769-1785

2416 Bedgood Dr SW
Wilson, NC 27893
Phone (252) 265-9200

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, 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": "1321920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1669749420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1183 DOGWOOD RIDGE DR",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285908783",
            "telephone_number": "910-546-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 N HERRITAGE ST STE A",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285011580",
            "telephone_number": "252-686-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANIER-WILLIAMS",
        "first_name": "MIA",
        "middle_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-22",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinston, NC

Sources for this page

Verify at the official NPI Registry.