Individual provider Active NPI

Sandra Williams, LPC

  • Mental Health Counselor
  • Decatur, GA
National Provider Identifier
1952838575
Registry record updated May 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC009375 Issued in GA
Practice address
315 W Ponce de Leon Ave Ste 440
Decatur, GA 30030-2449
Phone
(678) 347-6008
NPI assigned
May 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2017

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 LPC009375 GA Primary

Addresses

Primary practice location

315 W Ponce de Leon Ave Ste 440
Decatur, GA 30030-2449

Mailing address

898 Oak St SW Unit 1306
Atlanta, GA 30310-1966

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

State licenses

LicenseStateTypeSpecialty
LPC009375GAMDMental Health Counselor

Interoperability endpoints

  • Direct secure messaging: douglas.sandrawilliams@157888.advancedmd-direct.com

NPI Registry JSON

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

{
    "created_epoch": "1494633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494633600000",
    "number": "1952838575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "898 OAK ST SW UNIT 1306",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W PONCE DE LEON AVE STE 440",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302449",
            "telephone_number": "678-347-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SANDRA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-13",
        "last_updated": "2017-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC009375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2017; 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.