Active NPI
Brittney Charissa Williamson, MA, LPCA
- Mental Health Counselor
- Knightdale, NC
National Provider Identifier
1740551514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 13429
- Practice address
- 449 Cedar Pond CT
Knightdale, NC 27545-6063 - Phone
- (919) 752-7118
- NPI assigned
- Jan 25, 2012
- Last updated
- May 27, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 13429 | NC | Primary |
Addresses
Primary practice location
449 Cedar Pond CT
Knightdale, NC 27545-6063
Mailing address
449 Cedar Pond CT
Knightdale, NC 27545-6063
Phone (919) 752-7118
Other names 1
- Brittney Charissa Williamson
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13429 | NC | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Changing Counseling, PLLC | Mental Health | Current | Accepting new patients |
| Life Changing Counseling, LLC | Mental Health | Current | Accepting new patients |
Locations
3134 Wendell Blvd
Ste 1
Wendell, NC 27591
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Wendell, NC
- NPI 1932665395
-
- Mental Health Counselor
- Knightdale, NC
- NPI 1285244210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653609600000",
"number": "1740551514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "449 CEDAR POND CT",
"city": "KNIGHTDALE",
"state": "NC",
"postal_code": "275456063",
"telephone_number": "919-752-7118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "449 CEDAR POND CT",
"city": "KNIGHTDALE",
"state": "NC",
"postal_code": "275456063",
"telephone_number": "919-752-7118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMSON",
"first_name": "BRITTNEY",
"middle_name": "CHARISSA",
"credential": "MA, LPCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-25",
"last_updated": "2022-05-27",
"certification_date": "2022-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "13429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRITTNEY",
"last_name": "WILLIAMSON",
"middle_name": "CHARISSA",
"credential": "MA, LCMHC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Knightdale, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.