Individual provider Active NPI

Renee Williams, ED.D, LGPC, MA, NCC

  • Mental Health Counselor
  • Clinton, MD
National Provider Identifier
1699254011
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LGP6718 Issued in MD
Practice address
3102 Floral Park Rd
Clinton, MD 20735-9665
Phone
(301) 292-2778
NPI assigned
Aug 7, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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 LGP6718 MD Primary

Addresses

Primary practice location

3102 Floral Park Rd
Clinton, MD 20735-9665

Mailing address

11789 Clarks Mountain Rd
Bristow, VA 20136-1391

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LGP6718MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A Better You Holistic Wellness CurrentSince Jun 9, 2024 Accepting new patients
Safe Harbor Christian Counseling of Southern Maryland, LLC Past Accepting new patients
True Life Change Mental Health Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1699254011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11789 CLARKS MOUNTAIN RD",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201361391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 FLORAL PARK RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207359665",
            "telephone_number": "301-292-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "ED.D, LGPC, MA, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP6718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.