Individual provider Active NPI

Lynette Marie Williamson, CRM, PSS

  • Counselor
  • La Grande, OR
National Provider Identifier
1013702190
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
24-CRM-3731 Issued in OR
Practice address
105 Fir St Ste 327
La Grande, OR 97850-2663
Phone
(541) 246-3638
Fax
(541) 234-2777
NPI assigned
Apr 10, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 24-CRM-3731 OR Primary

Addresses

Primary practice location

105 Fir St Ste 327
La Grande, OR 97850-2663

Mailing address

PO Box 2782
La Grande, OR 97850-7782

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
24-CRM-3731ORMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Candace Walters and Associates CurrentSince Apr 13, 2025 Accepting new patients

Locations

105 Fir St
Ste 327
La Grande, OR 97850
Phone (541) 246-3638

Organizations & group practices 1

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": "1744243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1013702190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2782",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978507782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 FIR ST STE 327",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978502663",
            "telephone_number": "541-246-3638",
            "fax_number": "541-234-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "LYNETTE",
        "middle_name": "MARIE",
        "credential": "CRM, PSS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "24-CRM-3731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grande, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.