Amanda H Williams, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

003399 Issued in GA

Practice address

350 Log Cabin Rd NE Ste 3
Milledgeville, GA 31061-8991

Phone

(470) 232-1450

NPI assigned

Jul 23, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 4, 2024 through Jul 4, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Amanda H Williams LPC LLC

  • Professional Counselor
  • Milledgeville, GA
  • NPI 1306612080
  NPD Authorized official

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1861622904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 LOWE RD NW",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310618334",
            "telephone_number": "470-232-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 LOG CABIN RD NE STE 3",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310618991",
            "telephone_number": "470-232-1450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Lowe Rd NW",
            "address_purpose": "LOCATION",
            "city": "Milledgeville",
            "state": "GA",
            "postal_code": "310618334",
            "country_code": "US",
            "telephone_number": "470-232-1450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "AMANDA",
        "middle_name": "H",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-23",
        "last_updated": "2024-01-02",
        "certification_date": "2023-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "003399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "003399",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Catherine Whittle, LCSW
• Wide Range of Resources, Inc
• Wide Range of Resources,Iinc.
• Catherine Taylor Wiggins, NP
• Penny E. Wiggins, NP-C
• Andrea Denise Williams, APRN
• Angela N Williams, RN
• Brianna Williams
• India Williams, FNP-C, PMHNP
• Sherrie Sheveeta Williams

• Professional Counselor in Milledgeville, GA
• Providers in Milledgeville, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.