Individual provider Active NPI

Chatara Monet Williams, PHD, MASTERS

  • Mental Health Counselor
  • Jacksonville, NC
National Provider Identifier
1902233828
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
507 Shadyside CT
Jacksonville, NC 28540-3196
Phone
(910) 629-2722
NPI assigned
Oct 9, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

507 Shadyside CT
Jacksonville, NC 28540-3196

Mailing address

1144 Western Blvd # 1076
Jacksonville, NC 28546-6651
Phone (910) 629-2722

Other identifiers 1

IdentifierTypeStateIssuer
1902233828OtherFLNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL abutterflyandbeyondcounseling.com

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
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
A Butterfly & Beyond Counseling, PLLC CurrentSince Oct 2, 2022 Accepting new patients
Right Path Behavioral Health Services, LLC. Past Accepting new patients

Locations

1144 Western Blvd
Jacksonville, NC 28546
Phone (571) 206-1121

Organizations & group practices 2

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": "1381276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1902233828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 WESTERN BLVD # 1076",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466651",
            "telephone_number": "910-629-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 SHADYSIDE CT",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285403196",
            "telephone_number": "910-629-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHATARA",
        "middle_name": "MONET",
        "name_prefix": "Dr.",
        "credential": "PHD, MASTERS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-09",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1902233828",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "abutterflyandbeyondcounseling.com",
            "affiliation": "N",
            "address_1": "507 Shadyside Ct",
            "city": "Jacksonville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285403196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.