William Stallworth, MS, PPS, AMFT

Primary specialty

School CounselorTaxonomy code 101YS0200X

License

210136286 Issued in CA

Practice address

36300 Fremont Blvd
Fremont, CA 94536-3511

Phone

(510) 796-1776

NPI assigned

Jan 8, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• City of Fremont

  dba American High School

  • Community/Behavioral Health Agency
  • Fremont, CA
  • NPI 1477962686
  NPD (past)

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

{
    "created_epoch": "1767830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1033076203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36300 FREMONT BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945363511",
            "telephone_number": "510-796-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36300 FREMONT BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945363511",
            "telephone_number": "510-796-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLWORTH",
        "first_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "MS, PPS, AMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-08",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "128044",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "CA",
            "license": "210136286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arun Srivatsa, MD
• SS Home Inc (SYNERGY HomeCare of Fremont)
• Paige Ssasser
• St. Mary's Home Health Services LLC
• David Thomas Stacy, P.A
• Stanford Multidisciplinary Spine Center Inc
• Shaunti Stanford
• Venus U Stanford
• Stanislaus County
• Meagan Stanley

• School Counselor in Fremont, CA
• Providers in Fremont, CA by specialty
• School Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.