Individual provider Active NPI

Jamie Isabelle Williams, M.C., N.C.C., L.P.C.

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1003979576
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-11993 Issued in AZ
Practice address
3603 N 7TH Ave
Phoenix, AZ 85013-3638
Phone
(602) 234-1935
Fax
(602) 234-0022
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-11993 AZ Primary

Addresses

Primary practice location

3603 N 7TH Ave
Phoenix, AZ 85013-3638

Mailing address

42204 N Stonemark Dr
Anthem, AZ 85086-1032
Phone (623) 879-3372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC-11993AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Family Care Past Accepting new patients
Christian Family Care Agency, Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003979576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42204 N STONEMARK DR",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850861032",
            "telephone_number": "623-879-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3603 N 7TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133638",
            "telephone_number": "602-234-1935",
            "fax_number": "602-234-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JAMIE",
        "middle_name": "ISABELLE",
        "name_prefix": "Mrs.",
        "credential": "M.C., N.C.C., L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-11993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.