{
"Npi": {
"NPI": "1326116997",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "WILLIAMSON COLLINS",
"FirstName": "SHELIA",
"MiddleName": "DIANA",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "PHD, LCMHC, LCAS",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "TAFFE",
"OtherFirstName": "SHELIA",
"OtherMiddleName": "DIANA",
"OtherNamePrefix": "MRS.",
"OtherNameSuffix": null,
"OtherCredential": "MA, LPC, LCAS",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "135 WELLINGTON DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HAMLET",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "28345-8001",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "910-417-8794",
"MailingAddressFaxNumber": "910-557-1153",
"FirstLinePracticeLocationAddress": "225 S HANCOCK ST STE E",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ROCKINGHAM",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "28379-3679",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "910-417-8794",
"PracticeLocationAddressFaxNumber": "910-557-1153",
"EnumerationDate": "12/01/2006",
"LastUpdateDate": "12/06/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "101YA0400X",
"TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
"LicenseNumber": "21619",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "101YM0800X",
"TaxonomyName": "Mental Health Counselor",
"LicenseNumber": "178004533",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "101YP2500X",
"TaxonomyName": "Professional Counselor",
"LicenseNumber": "212906",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "101YM0800X",
"TaxonomyName": "Mental Health Counselor",
"LicenseNumber": "10148",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}