Latina Gay Williams, LCAS LCMHCS CCS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7889 Issued in NC

Practice address

104 W Fire Tower Rd # B
Winterville, NC 28590-9475

Phone

(252) 814-9160

NPI assigned

Aug 10, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Outcomes Counseling and Treatment Services, PLLC

  • Community/Behavioral Health Agency
  • Winterville, NC
  • NPI 1922721265
  NPD Authorized official

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

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1982836995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W FIRE TOWER RD # B",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285909475",
            "telephone_number": "252-814-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W FIRE TOWER RD # B",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285909475",
            "telephone_number": "252-814-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LATINA",
        "middle_name": "GAY",
        "name_prefix": "Ms.",
        "credential": "LCAS LCMHCS CCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1508",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "7889",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Takara Whichard, M.S, NCC, LPC
• Mallory Whitfield
• Kimberly Wilder
• William S. Harvey, III DDS4
• Gabrielle Alexis Williams, LRT, CTRS
• Shaniqua Nicole Williams
• Toddra Maye Williams, MS, LCMHC, LCAS
• Wintergreen Medical Center, PLLC
• Winterville Rescue & EMS, Inc.
• William Chadwick Wood, M.D.

• Professional Counselor in Winterville, NC
• Providers in Winterville, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.