Stacey Rae Williams, LPCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

297420 Issued in KY

Practice address

111 S Morgan St
Morganfield, KY 42437-1552

Phone

(270) 285-9023

Fax

(270) 285-9037

NPI assigned

Feb 22, 2025

Last updated

Feb 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wellness Counseling Center

  • Professional Counselor
  • Morganfield, KY
  • NPI 1043780729

  Mental Health

  NPD

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

{
    "created_epoch": "1740182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740182400000",
    "number": "1992501670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S MORGAN ST",
            "city": "MORGANFIELD",
            "state": "KY",
            "postal_code": "424371552",
            "telephone_number": "270-285-9023",
            "fax_number": "270-285-9037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S MORGAN ST",
            "city": "MORGANFIELD",
            "state": "KY",
            "postal_code": "424371552",
            "telephone_number": "270-285-9023",
            "fax_number": "270-285-9037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 2nd St Ste 311",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "KY",
            "postal_code": "424203176",
            "country_code": "US",
            "telephone_number": "270-285-9023",
            "fax_number": "270-285-9037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "STACEY",
        "middle_name": "RAE",
        "credential": "LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-22",
        "last_updated": "2025-02-22",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "297420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #17170)
• Debra J Wallace, M.D.
• Wellness Counseling Center
• Ashley P Wells
• William Allen White, M.D.
• Crystal Ann Wilson, APRN, FNP-C
• Wendy Elizabeth Wilson, LPCC
• Lorine Woodard, ATC

• Mental Health Counselor in Morganfield, KY
• Providers in Morganfield, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2025; 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.