NICOLE ANNE WILLIAMS LADC, LPC
NPI 1992416002
Counselor - Mental Health in Roseville, MN

Active since December 09, 2022PECOS EnrolledAccepts Medicare Assignment
1611 COUNTY ROAD B W STE 102, ROSEVILLE, MN 55113(651) 398-6643 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2024, Dec 9, 2022 (2 updates tracked since 2022).

About Nicole Anne Williams Ladc, Lpc NPPES

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

NICOLE ANNE WILLIAMS LADC, LPC (NPI 1992416002) is an individual mental health provider in Roseville, Minnesota, licensed in Minnesota (2701) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1992416002
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE ANNE WILLIAMSCredential: LADC, LPC
Location Address1611 COUNTY ROAD B W STE 102Roseville, MN 55113-4053
Mailing Address1611 County Road B W Ste 102Roseville, MN 55113-4053 · (651) 398-6643
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 9, 2022
Last NPPES UpdateJune 3, 20242 updates tracked since enumeration
NPPES CertifiedJune 3, 2024
NPI 1992416002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MN · 2701
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 306392 (MN)
1611 COUNTY ROAD B W STE 102, Roseville, MN 55113

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nicole Anne Williams Ladc, Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375086416
PECOS Enrollment IDI20240618002007
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.

Other Providers at the Same Location NPPES 2

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

Clinical Medical Laboratory
1611 COUNTY ROAD B W STE 102
ROSEVILLE, MN 55113
Social Worker (Clinical)
1611 COUNTY ROAD B W STE 102
ROSEVILLE, MN 55113

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 Nicole Williams's NPI number?

The NPI number for Nicole Williams is 1992416002. It was assigned to this individual provider in the NPPES registry on December 9, 2022.

Where is Nicole Williams located?

Nicole Williams practices at 1611 County Road B W Ste 102, Roseville, MN 55113. The listed phone number is (651) 398-6643.

What is Nicole Williams's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Nicole Williams enrolled in Medicare?

Yes. Nicole Williams is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Nicole Williams was last updated on June 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.