Individual provider Active NPI

Vivia Latrice Williams, LPC

  • Professional Counselor
  • Augusta, GA
National Provider Identifier
1912631615
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC013772 Issued in GA
Practice address
2100 Central Ave Ste D1
Augusta, GA 30904-6709
Phone
(706) 843-6245
Fax
(706) 843-6242
NPI assigned
Jul 11, 2022
Last updated
Nov 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 11447 SC
Professional Counselor 101YP2500X LPC013772 GA Primary

Addresses

Primary practice location

2100 Central Ave Ste D1
Augusta, GA 30904-6709

Mailing address

PO Box 7660
North Augusta, SC 29861-7660
Phone (706) 843-6241

Medicare participation

Medicare enrollment files
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
New York, NY 10087

PO Box
Suite 24449
New York, NY 10087-0589

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC013772GAMDProfessional Counselor
11447SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Trutherapy LPC Corp Professional CurrentSince Aug 17, 2025 Accepting new patients

Locations

2100 Central Ave
Ste D1
Augusta, GA 30904
Phone (706) 843-6241

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1912631615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7660",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298617660",
            "telephone_number": "706-843-6241",
            "fax_number": "706-843-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 CENTRAL AVE STE D1",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046709",
            "telephone_number": "706-843-6245",
            "fax_number": "706-843-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "VIVIA",
        "middle_name": "LATRICE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "11447",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC013772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.