Individual provider Active NPI

Angela Shayna Williams, LPC, CRC

  • Professional Counselor
  • North Little Rock, AR
National Provider Identifier
1932727682
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P2205003 Issued in AR
Practice address
6616 Magnolia Way
North Little Rock, AR 72117-2372
Phone
(501) 416-2457
NPI assigned
Jul 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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 92330 TX
Professional Counselor 101YP2500X P2205003 AR Primary

Addresses

Primary practice location

6616 Magnolia Way
North Little Rock, AR 72117-2372

Mailing address

2513 McCain Boulevard Ste 2
Room 273
North Little Rock, AR 72116-2372
Phone (501) 416-2457

Other practice location 1

3312 Teasley Ln Ste 100
Denton, TX 76210-8311
Phone (940) 222-2399

Other practice location 2

628 W Broadway St Ste 300
North Little Rock, AR 72114-5547
Phone (501) 372-4242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240424001743 TX Practitioner - Mental Health Counselor 4486094489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alaniz Counseling and Behavioral Center PCGroup PAC ID 0648596924, 57 clinicians

Practice addresses (Care Compare)

5522 Lone Star Pkwy
Suite 303
San Antonio, TX 78253-6722
Phone (210) 614-4990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P2205003ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vcounselors PLLC Professional CurrentSince Mar 17, 2024 Accepting new patients
Family Service Agency,Inc. CurrentSince Jul 1, 2022 Accepting new patients
Alaniz Counseling and Behavioral Center, P.C. Professional CurrentSince Mar 17, 2024 Accepting new patients

Locations

628 W Broadway St
Ste 300
North Little Rock, AR 72114
Phone (501) 372-4242

5522 Lone Star Pkwy
Ste 303
San Antonio, TX 78253
Phone (210) 614-4990

17503 La Cantera Pkwy
Ste 104
San Antonio, TX 78257
Phone (210) 564-9116

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": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1932727682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2513 MCCAIN BOULEVARD STE 2",
            "address_2": "ROOM 273",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721162372",
            "telephone_number": "501-416-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6616 MAGNOLIA WAY",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172372",
            "telephone_number": "501-416-2457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3312 Teasley Ln Ste 100",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762108311",
            "country_code": "US",
            "telephone_number": "940-222-2399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "628 W Broadway St Ste 300",
            "address_purpose": "LOCATION",
            "city": "North Little Rock",
            "state": "AR",
            "postal_code": "721145547",
            "country_code": "US",
            "telephone_number": "501-372-4242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ANGELA",
        "middle_name": "SHAYNA",
        "credential": "LPC, CRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "92330",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2205003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.