Individual provider Active NPI

Sydney M Williams

  • Mental Health Counselor
  • Waldorf, MD
National Provider Identifier
1720568066
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LGP16057 Issued in MD
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

Updated by the provider on May 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
LGP16057MDMDMental Health Counselor
37AC00795800NJMDMental 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.

Verify at the official NPI Registry.