Active NPI
Susan Miller Williams, M.S.,M.ED
- Professional Counselor
- Charlotte, NC
National Provider Identifier
1881768265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3263
- Practice address
- 429 S Sharon Amity Rd
Charlotte, NC 28211-2800 - Phone
- (704) 362-3200
- Fax
- (704) 362-2161
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3263 | NC | Primary |
Addresses
Primary practice location
429 S Sharon Amity Rd
Charlotte, NC 28211-2800
Mailing address
429 S Sharon Amity Rd
Charlotte, NC 28211-2800
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
- Credentials
- Master of Education, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3263 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881768265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "429 S SHARON AMITY RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282112800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "429 S SHARON AMITY RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282112800",
"telephone_number": "704-362-3200",
"fax_number": "704-362-2161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "SUSAN",
"middle_name": "MILLER",
"credential": "M.S.,M.ED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "3263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.