Individual provider Active NPI

Anna Goodman Williams

  • Mental Health Counselor
  • Douglasville, GA
National Provider Identifier
1720722580
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC012326 Issued in GA
Practice address
6311 Strickland St
Douglasville, GA 30134-1261
Phone
(678) 838-8333
NPI assigned
Apr 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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 LPC012326 GA Primary

Addresses

Primary practice location

6311 Strickland St
Douglasville, GA 30134-1261

Mailing address

5200 Dallas Hwy Ste 200-256
Powder Springs, GA 30127-6318
Phone (470) 507-1892

Other identifiers 1

IdentifierTypeStateIssuer
0OtherGACASH/INSURANCE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL agwcounseling@gmail.com Direct

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
LPC012326GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Vision Counseling Center, LLC CurrentSince Aug 17, 2025 Accepting new patients

Locations

6311 Strickland St
Douglasville, GA 30134
Phone (678) 838-8333

Organizations & group practices 1

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": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1720722580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 DALLAS HWY STE 200-256",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301276318",
            "telephone_number": "470-507-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6311 STRICKLAND ST",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301341261",
            "telephone_number": "678-838-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN WILLIAMS",
        "first_name": "ANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC012326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "agwcounseling@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Counseling Services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Therapy",
            "address_1": "5139 Glendora Dr",
            "city": "Powder Springs",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301275349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.