Individual provider Active NPI

Douglas Williams, MA, LPC-MHSP

  • Professional Counselor
  • Nashville, TN
National Provider Identifier
1740457613
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2124 Issued in TN
Practice address
2410 Charlotte Ave
Nashville, TN 37203-1517
Phone
(615) 321-2575
Fax
(615) 327-4536
NPI assigned
May 10, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2124 TN Primary

Addresses

Primary practice location

2410 Charlotte Ave
Nashville, TN 37203-1517

Mailing address

2410 Charlotte Ave
Nashville, TN 37203-1517
Phone (615) 321-2575

Other names 1

  • Stephen Douglas Williams Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241211000467 TN Practitioner - Mental Health Counselor 4789095431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spero Health of Tennessee, LLCGroup PAC ID 0941683593, 21 clinicians

Practice addresses (Care Compare)

1035 E Old Hickory Blvd
Madison, TN 37115-4160
Phone (615) 622-0523

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2124TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Spero Health of Tennessee, LLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

155 Franklin Rd
Ste 430
Brentwood, TN 37027
Phone (615) 265-0359

1035 E Old Hickory Blvd
Madison, TN 37115
Phone (615) 622-0523

301 Wolverine Trl
Ste 200
Smyrna, TN 37167
Phone (615) 459-5228

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/sperohealth/r4/

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": "1210377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1740457613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 CHARLOTTE AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031517",
            "telephone_number": "615-321-2575",
            "fax_number": "615-327-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 CHARLOTTE AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031517",
            "telephone_number": "615-321-2575",
            "fax_number": "615-327-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "MA, LPC-MHSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-10",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "2124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHEN",
            "last_name": "WILLIAMS",
            "middle_name": "DOUGLAS",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.