John Chancellor Williams, LCAS-A

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

2900-A Issued in NC

Practice address

725 W Main St Ste B
Jamestown, NC 27282-7507

Phone

(336) 454-1140

Fax

(336) 454-1180

NPI assigned

Oct 2, 2013

Last updated

Oct 2, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• The Guilford County Resource and Referral Center

  • Community/Behavioral Health Agency
  • Jamestown, NC
  • NPI 1548694268
  Authorized official Same address or phone

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1952738205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 W MAIN ST STE B",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272827507",
            "telephone_number": "336-454-1140",
            "fax_number": "336-454-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 W MAIN ST STE B",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272827507",
            "telephone_number": "336-454-1140",
            "fax_number": "336-454-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JOHN",
        "middle_name": "CHANCELLOR",
        "name_prefix": "Mr.",
        "credential": "LCAS-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "2900-A",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "2900-A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Watkins, MA, LCMHC, LCAS
• Casey Taylor West, MA, LCMHC
• William NMN Wicker, RPH
• Ava Williams, M.S
• Erin Williams
• Woodlake Psychological and Psychiatric Associates, PLLC
• Deanna K Woods, CNA,CMA,MLT

• Addiction (Substance Use Disorder) Counselor in Jamestown, NC
• Providers in Jamestown, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.