Individual provider Active NPI

Carol Lashawn Williams, LCDC

  • Addiction (Substance Use Disorder) Counselor
  • Dallas, TX
National Provider Identifier
1720550551
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
16315 Issued in TX
Practice address
9708 Skillman St
Dallas, TX 75243-5150
Phone
(214) 221-5433
NPI assigned
Dec 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 16315 TX Primary

Addresses

Primary practice location

9708 Skillman St
Dallas, TX 75243-5150

Mailing address

2043 Lake Trail Dr
Heartland, TX 75126-8275
Phone (214) 289-6136

Other practice location 1

3330 S Lancaster Rd
Dallas, TX 75216-4531
Phone (214) 371-6639

Other practice location 2

2043 Lake Trail Dr
Heartland, TX 75126-8275
Phone (214) 289-6136

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

State licenses

LicenseStateTypeSpecialty
16315TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1720550551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2043 LAKE TRAIL DR",
            "city": "HEARTLAND",
            "state": "TX",
            "postal_code": "751268275",
            "telephone_number": "214-289-6136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9708 SKILLMAN ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752435150",
            "telephone_number": "214-221-5433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3330 S Lancaster Rd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752164531",
            "country_code": "US",
            "telephone_number": "214-371-6639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2043 Lake Trail Dr",
            "address_purpose": "LOCATION",
            "city": "Heartland",
            "state": "TX",
            "postal_code": "751268275",
            "country_code": "US",
            "telephone_number": "214-289-6136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CAROL",
        "middle_name": "LASHAWN",
        "name_prefix": "Ms.",
        "credential": "LCDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-18",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "16315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.