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

Ezra Brandon Williamson I, LPC

Individual provider Professional Counselor · NPI 1942953823

Ezra Brandon Williamson I, LPC is a Mental Health Counselor in Green Bay, Wisconsin. Qualified in 2019, 7 years ago. Practices with Nystrom and Associates Counseling Wi SC, a 114-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
7
Licensed in
WI
In the registry since
2022
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

480 Pilgrim Way # 1300-A
Green Bay, WI 54304-5280
Phone: (920) 610-5119
Fax: (920) 610-5120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 11415 (WI)

Record details

NPI number1942953823
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedJanuary 31, 2022
Last updated in NPPESJanuary 8, 2025
Certification dateJanuary 8, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Nystrom And Associates Counseling Wi Sc — 114 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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