Individual provider Active NPI

Selena Nicole Williams, LCMHCA

  • Professional Counselor
  • Lexington, NC
National Provider Identifier
1962101709
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A18533 Issued in NC
Practice address
1303 Greensboro Street Ext
Lexington, NC 27295-1924
Phone
(336) 249-0237
Fax
(336) 780-7339
NPI assigned
Mar 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A18533 NC Primary

Addresses

Primary practice location

1303 Greensboro Street Ext
Lexington, NC 27295-1924

Mailing address

PO Box 607
Lexington, NC 27293-0607
Phone (336) 249-0237

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
A18533NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Services of Davidson County, Inc CurrentSince Mar 5, 2023 Accepting new patients

Locations

1303 Greensboro Street Ext
Lexington, NC 27295
Phone (336) 249-0237

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1962101709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272930607",
            "telephone_number": "336-249-0237",
            "fax_number": "336-780-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 GREENSBORO STREET EXT",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272951924",
            "telephone_number": "336-249-0237",
            "fax_number": "336-780-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SELENA",
        "middle_name": "NICOLE",
        "credential": "LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A18533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.