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DOMINIC WILLIAMS LCPC
NPI 1053923839
Counselor - Professional in Pikesville, MD

Active since August 21, 2020PECOS Enrolled
1829 REISTERSTOWN RD STE 350, PIKESVILLE, MD 21208(443) 955-2662 Get Directions Write a Review

NPPES record last updated: June 10, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 10, 2023, Jan 12, 2021, Aug 21, 2020 (3 updates tracked since 2020).

About Dominic Williams Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOMINIC WILLIAMS LCPC (NPI 1053923839) is an individual professional provider in Pikesville, Maryland, licensed in Maryland (LC13054) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053923839
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDOMINIC WILLIAMSCredential: LCPC
Location Address1829 REISTERSTOWN RD STE 350Pikesville, MD 21208-7126
Mailing Address6029 Duckeys Run RdElkridge, MD 21075-6193 · (443) 388-7206
Phone(443) 955-2662
Sole ProprietorNo
Enumeration DateAugust 21, 2020
Last NPPES UpdateJune 10, 20233 updates tracked since enumeration
NPPES CertifiedJune 10, 2023
✔ NPI 1053923839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MD · LC13054
1829 REISTERSTOWN RD STE 350, Pikesville, MD 21208
Open in Google Maps ↗

Secondary Practice Locations 2

Location 120 Crossroads Dr Ste 105Owings Mills, MD 21117-5480 · Phone (410) 356-2007
Location 22603 N Rolling Rd Ste 301Windsor Mill, MD 21244-1975 · Phone (410) 298-4642

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dominic Williams Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Dominic Williams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Divine Counseling LLC
2.7 mi
Clinical
90 PAINTERS MILL RD STE 136
Owings Mills, MD 21117
  • Reassigned Medicare billing, Maryland enrollment
  • 22 clinicians in this Medicare group
NPI 1184291155 (443) 955-2662

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. PAUL M TETREAULT RN
Registered Nurse (Infusion Therapy)
1829 REISTERSTOWN RD STE 350
PIKESVILLE, MD 21208
Baltimore County (443) 226-1676
CHEKESHA MALIKA DUNCAN
Counselor (Mental Health)
1829 REISTERSTOWN RD STE 350
PIKESVILLE, MD 21208
Baltimore County (443) 738-5644
MR. KOLAWOLE LAJUMOKE RN
Registered Nurse (Infusion Therapy)
1829 REISTERSTOWN RD STE 350
PIKESVILLE, MD 21208
Baltimore County (443) 226-1676
MICHAEL ANEGBODE
Home Health Aide
1829 REISTERSTOWN RD STE 350
PIKESVILLE, MD 21208
Baltimore County (443) 518-8190
WENDY GISSELLE REYES
Behavior Technician
1829 REISTERSTOWN RD STE 350
PIKESVILLE, MD 21208
Baltimore County (410) 846-2253
DIANE BLACK RN
Registered Nurse (Infusion Therapy)
1829 REISTERSTOWN RD STE 350
PIKESVILLE, MD 21208
Baltimore County (443) 226-1676
DR. CHANTA MONIQUE BOOKER
Health Educator
1829 REISTERSTOWN RD STE 350
PIKESVILLE, MD 21208
Baltimore County (443) 641-9407
MR. ANTHONY M MARCIANO RN
Registered Nurse (Infusion Therapy)
1829 REISTERSTOWN RD STE 350
PIKESVILLE, MD 21208
Baltimore County (443) 226-1676

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominic Williams's NPI number?

The NPI number for Dominic Williams is 1053923839. It was assigned to this individual provider in the NPPES registry on August 21, 2020.

Where is Dominic Williams located?

Dominic Williams practices at 1829 Reisterstown Rd Ste 350, Pikesville, MD 21208. The listed phone number is (443) 955-2662.

What is Dominic Williams's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Dominic Williams enrolled in Medicare?

Yes. Dominic Williams is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dominic Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dominic Williams reassigns Medicare benefits to Divine Counseling LLC (Owings Mills, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dominic Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dominic Williams was last updated on June 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.