Active NPI
Cicely Williams, LPC
- Mental Health Counselor
- Arkadelphia, AR
National Provider Identifier
1801275607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P1710365
- Practice address
- 2503 Pine St Ste 4
Arkadelphia, AR 71923-4368 - Phone
- (870) 725-6475
- NPI assigned
- May 26, 2015
- 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 | P1710365 | AR | Primary |
Addresses
Primary practice location
2503 Pine St Ste 4
Arkadelphia, AR 71923-4368
Mailing address
2503 Pine St Ste 4
Arkadelphia, AR 71923-4368
Phone (870) 725-6475
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 227107719 | Medicaid | AR |
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
| License | State | Type | Specialty |
|---|---|---|---|
| P1710365 | AR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| G and J Counseling LLC | Current | Accepting new patients |
Locations
2503 Pine St
Ste 4
Arkadelphia, AR 71923
Phone (870) 403-4878
2503 Pine St
Ste 2
Arkadelphia, AR 71923
Phone (870) 260-0238
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Arkadelphia, AR
- NPI 1447609763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618876800000",
"number": "1801275607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2503 PINE ST STE 4",
"city": "ARKADELPHIA",
"state": "AR",
"postal_code": "719234368",
"telephone_number": "870-725-6475",
"fax_number": "870-260-0238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2503 PINE ST STE 4",
"city": "ARKADELPHIA",
"state": "AR",
"postal_code": "719234368",
"telephone_number": "870-725-6475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CICELY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-26",
"last_updated": "2021-04-20",
"certification_date": "2021-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "P1710365",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "227107719",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arkadelphia, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.