Amy Jane Williams, MA LSW LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

12956 Issued in NC

Practice address

933 Louise Ave Ste 10117
Charlotte, NC 28204

Phone

(304) 552-7057

NPI assigned

Jan 3, 2007

Last updated

Feb 26, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 8, 2024 through Feb 8, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Amy Williams Wellness

  • Professional Counselor
  • Charleston, WV
  • NPI 1124370556
  NPD (past) Authorized official

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1801953187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 LOUISE AVE STE 10117",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282040053",
            "telephone_number": "304-552-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 LOUISE AVE STE 10117",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28204",
            "telephone_number": "304-552-7057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 Washington St W",
            "address_2": "Room 203",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253022230",
            "country_code": "US",
            "telephone_number": "304-552-7057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "933 Louise Ave Ste 10117",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "28204",
            "country_code": "US",
            "telephone_number": "304-552-7057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "AMY",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "MA LSW LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "LPC 1550",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "12956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexes Danielle Williams
• Alexis Marie Williams, LPCA
• Alexis Patrice Williams
• Alicia Delacruz Williams
• Alisia Williams
• Andrea Kay Williams, PT
• Andrea M Williams, MD
• Aniyah Elise Williams, RBT
• Ariel Nicole Williams
• Ariyana Elizabeth Williams

• Professional Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.