Individual provider Active NPI

Tonya V Wright Williams, LPC - LMFT

  • Professional Counselor
  • Shreveport, LA
National Provider Identifier
1871920983
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3023 Issued in LA
Practice address
2210 Line Ave Ste 207
Shreveport, LA 71104-2134
Phone
(318) 675-1112
Fax
(866) 307-9980
NPI assigned
Oct 3, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Community/Behavioral Health Agency 251S00000X
Marriage & Family Therapist 106H00000X 898 LA
Professional Counselor 101YP2500X 3023 LA Primary

Addresses

Primary practice location

2210 Line Ave Ste 207
Shreveport, LA 71104-2134

Mailing address

2210 Line Ave Ste 207
Shreveport, LA 71104-2134
Phone (318) 675-1112

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

LicenseStateTypeSpecialty
898LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tonya Williams Community/Behavioral Health Current Accepting new patients
The Kennedy Center of Louisiana Inc Current Accepting new patients
The Kennedy Center of Louisiana Inc Community/Behavioral Health Current Accepting new patients

Locations

809 College St
Shreveport, LA 71104
Phone (318) 675-1112

2210 Line Ave
Ste 207
Shreveport, LA 71104
Phone (318) 675-1112

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1871920983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 LINE AVE STE 207",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042134",
            "telephone_number": "318-675-1112",
            "fax_number": "866-307-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 LINE AVE STE 207",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042134",
            "telephone_number": "318-675-1112",
            "fax_number": "866-307-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT WILLIAMS",
        "first_name": "TONYA",
        "middle_name": "V",
        "name_prefix": "Ms.",
        "credential": "LPC - LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-03",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "898",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "3023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.