Individual provider Active NPI

Eddie Williams IV, LCSW, LMHC, LMFT

  • Mental Health Counselor
  • Spring Hill, FL
National Provider Identifier
1992941280
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SW21076 Issued in FL
Practice address
6201 Waycross Dr
Spring Hill, FL 34606-4657
Phone
(352) 251-8899
Fax
(352) 251-8899
NPI assigned
Dec 17, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT4353 FL
Mental Health Counselor 101YM0800X SW21076 FL Primary
Mental Health Counselor 101YM0800X MH12228 FL
Professional Counselor 101YP2500X 37PC00888400 NJ
Professional Counselor 101YP2500X CTB-2023-0658 NM
Clinical Social Worker 1041C0700X SW21076 FL

Addresses

Primary practice location

6201 Waycross Dr
Spring Hill, FL 34606-4657

Mailing address

6201 Waycross Dr
Spring Hill, FL 34606-4657
Phone (352) 251-8899

Other practice location 1

725 N 12th Ave Bldg B
Arcadia, FL 34266-8752
Phone (863) 494-1242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231113003601 FL Practitioner - Clinical Social Worker 6406203405 Reassigns benefits to 1 organization
I20240627003455 FL Practitioner - Mental Health Counselor 6406203405 Reassigns benefits to 1 organization
Practice locations: Spring Hill, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Balanced Wellbeing LLCGroup PAC ID 5193021848, 228 clinicians

Practice addresses (Care Compare)

3200 SW 34TH Ave
Suite 701
Ocala, FL 34474-8443
Phone (877) 779-2429

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH12228FLMDMental Health Counselor
37PC00888400NJMDProfessional Counselor
CTB-2023-0658NMMDProfessional Counselor
MT4353FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Wellbeing LLC Clinical CurrentSince Jun 9, 2025 Accepting new patients
MCR Health, Inc. CurrentSince Jul 1, 2025 Accepting new patients
MCR Health, Inc. CurrentSince Jul 1, 2025 Accepting new patients

Locations

725 N 12th Ave
Bldg B
Arcadia, FL 34266
Phone (863) 494-1242

3200 SW 34th Ave
Ste 701
Ocala, FL 34474
Phone (354) 445-1200

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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": "1229472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1992941280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 WAYCROSS DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346064657",
            "telephone_number": "352-251-8899",
            "fax_number": "954-990-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 WAYCROSS DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346064657",
            "telephone_number": "352-251-8899",
            "fax_number": "352-251-8899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 N 12th Ave Bldg B",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "FL",
            "postal_code": "342668752",
            "country_code": "US",
            "telephone_number": "863-494-1242",
            "fax_number": "863-993-0108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "EDDIE",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "LCSW, LMHC, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-17",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT4353",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW21076",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12228",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00888400",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CTB-2023-0658",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW21076",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.