Active NPI
Sydney M Williams
- Mental Health Counselor
- Waldorf, MD
National Provider Identifier
1720568066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LGP16057
- Practice address
- 2300 Clubhouse Station PL Apt 406
Waldorf, MD 20601-3529 - Phone
- (609) 358-0616
- NPI assigned
- Aug 16, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LGP16057 | MD | Primary |
| Mental Health Counselor | 101YM0800X | 37AC00795800 | NJ |
Addresses
Primary practice location
2300 Clubhouse Station PL Apt 406
Waldorf, MD 20601-3529
Mailing address
2107 Goldfinch Blvd Unit 295
Princeton, NJ 08540-6875
Phone (609) 358-0616
Other practice location 1
2107 Goldfinch Blvd Unit 295
Princeton, NJ 08540-6875
Phone (609) 358-0616
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
| License | State | Type | Specialty |
|---|---|---|---|
| LGP16057 | MD | MD | Mental Health Counselor |
| 37AC00795800 | NJ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778803200000",
"number": "1720568066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2107 GOLDFINCH BLVD UNIT 295",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085406875",
"telephone_number": "609-358-0616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 CLUBHOUSE STATION PL APT 406",
"city": "WALDORF",
"state": "MD",
"postal_code": "206013529",
"telephone_number": "609-358-0616"
}
],
"practiceLocations": [
{
"address_1": "2107 Goldfinch Blvd Unit 295",
"address_purpose": "LOCATION",
"city": "Princeton",
"state": "NJ",
"postal_code": "085406875",
"country_code": "US",
"telephone_number": "609-358-0616",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "SYDNEY",
"middle_name": "M",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-16",
"last_updated": "2026-05-15",
"certification_date": "2026-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LGP16057",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37AC00795800",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.