Individual provider Active NPI

Dorothy D Williams, LMHC, NCC

  • Mental Health Counselor
  • Gardner, MA
National Provider Identifier
1699912733
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6728 Issued in MA
Practice address
205 School St Ste 301
Gardner, MA 01440-2781
Phone
(978) 632-9400
Fax
(978) 632-6425
NPI assigned
Jan 12, 2009
Last updated
Jan 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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 6728 MA Primary

Addresses

Primary practice location

205 School St Ste 301
Gardner, MA 01440-2781

Mailing address

205 School St Ste 301
Gardner, MA 01440-2781
Phone (978) 632-9400

Other practice location 1

71 Main St Ste 2C
Westminster, MA 01473-1472
Phone (978) 668-5099 ext. 1006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240129003226 MA Practitioner - Mental Health Counselor 7719330455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinical and Support Options, IncGroup PAC ID 6608835350, 103 clinicians

Practice addresses (Care Compare)

205 School St
Suite 301
Gardner, MA 01440-2781
Phone (978) 632-9400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6728MAMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical & Support Options, Inc CurrentSince Jan 1, 2024 Accepting new patients
Crosswalk Behavioral Health Inc. Mental Health Past Accepting new patients

Locations

205 School St
Ste 301
Gardner, MA 01440
Phone (978) 488-8888

1 Arch Pl
Greenfield, MA 01301
Phone (413) 773-1000

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": "1231718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1699912733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SCHOOL ST STE 301",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014402781",
            "telephone_number": "978-632-9400",
            "fax_number": "978-632-6425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SCHOOL ST STE 301",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014402781",
            "telephone_number": "978-632-9400",
            "fax_number": "978-632-6425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "71 Main St Ste 2C",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "MA",
            "postal_code": "014731472",
            "country_code": "US",
            "telephone_number": "978-668-5099 x1006",
            "fax_number": "978-668-5092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DOROTHY",
        "middle_name": "D",
        "credential": "LMHC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-12",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "6728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardner, MA

Sources for this page

Verify at the official NPI Registry.