Jeremy Williams

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

5461 Hillandale Dr Ste 100
Lithonia, GA 30058-4842

Phone

(470) 361-2976

NPI assigned

Aug 12, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1780359646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 OXFORD WAY",
            "city": "OXFORD",
            "state": "GA",
            "postal_code": "300542151",
            "telephone_number": "404-918-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5461 HILLANDALE DR STE 100",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300584842",
            "telephone_number": "470-361-2976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JEREMY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elbrenda Wiley, LCSW
• Alison P Williams
• Candice Nicole Williams
• Ebony Williams
• Jeanne Williams
• Kessia Adrian Williams
• Lagena Williams
• Latasha C Williams
• Lydia Williams
• Lynester Williams, APRN

• Mental Health Counselor in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.