Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bret Allen Williamson, LCDCIII

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1104478478

Bret Allen Williamson, LCDCIII is a Mental Health Counselor in Bowling Green, Ohio. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Ohio.

Years since qualifying
3
Licensed in
OH
In the registry since
2019
Specialties on file
2

Practice location Address checks out

1010 N Prospect St
Bowling Green, OH 43402-1335
Phone: (419) 725-0463
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence C.2305419 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LICDC.162575 (OH)

Record details

NPI number1104478478
Entity typeIndividual (Type 1)
GenderMale
Credentials LCDCIII
Sole proprietorYes
NPI enumeratedJuly 16, 2019
Last updated in NPPESFebruary 8, 2024
Certification dateFebruary 8, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Bowling Green