Individual provider Active NPI

Renee Eileen Williamson, LCMHC

  • Mental Health Counselor
  • Wilmington, NC
National Provider Identifier
1730967241
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A19016 Issued in NC
Practice address
3137 Wrightsville Ave
Wilmington, NC 28403-4111
Phone
(910) 839-8084
NPI assigned
Sep 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X A19016 NC
Mental Health Counselor 101YM0800X A19016 NC Primary
Professional Counselor 101YP2500X A19016 NC
Developmental - Behavioral Pediatrics Physician 2080P0006X A19016 NC
School Counselor 101YS0200X 1258259 NC

Addresses

Primary practice location

3137 Wrightsville Ave
Wilmington, NC 28403-4111

Mailing address

3147 Wrightsville Ave Ste C
Wilmington, NC 28403-4184
Phone (910) 622-6511

Other practice location 1

3137 Wrightsville Ave
Wilmington, NC 28403-4111
Phone (910) 839-8084

Other practice location 2

406 Lady Bug Ln
Wilmington, NC 28411-8012
Phone (910) 622-6511

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
A19016NCMDProfessional Counselor
1258259NCMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Renee Williamson LLC CurrentSince Aug 25, 2025 Accepting new patients

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": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1730967241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3147 WRIGHTSVILLE AVE STE C",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034184",
            "telephone_number": "910-622-6511",
            "fax_number": "910-946-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3137 WRIGHTSVILLE AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034111",
            "telephone_number": "910-839-8084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3137 Wrightsville Ave",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284034111",
            "country_code": "US",
            "telephone_number": "910-839-8084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "406 Lady Bug Ln",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284118012",
            "country_code": "US",
            "telephone_number": "910-622-6511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "RENEE",
        "middle_name": "EILEEN",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "A19016",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A19016",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A19016",
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "NC",
            "license": "A19016",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NC",
            "license": "1258259",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.