NPIMap

Organization Active NPI

Williams-Madray Counseling Service

Doing business as N/a

  • Mental Health Counselor
  • Upper Marlboro, MD
National Provider Identifier
1033156971
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCO307 Issued in MD
Legal business name
WILLIAMS-MADRAY COUNSELING SERVICE
Doing business as
N/a
Practice address
14007 Buck CT
Upper Marlboro, MD 20772-6821
Phone
(301) 922-1334
Fax
(301) 627-7421
NPI assigned
May 31, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Dale R Williams, M.A.NPI 1245567718
Title
Licensed Clinical Professional Coun
Phone
(301) 627-0399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X LCO307 MD Primary

Addresses

Primary practice location

14007 Buck CT
Upper Marlboro, MD 20772-6821

Mailing address

14007 Buck CT
Upper Marlboro, MD 20772-6821
Phone (301) 922-1334

Other names 1

  • N/A Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033156971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14007 BUCK CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207726821",
            "telephone_number": "301-922-1334",
            "fax_number": "301-627-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14007 BUCK CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207726821",
            "telephone_number": "301-922-1334",
            "fax_number": "301-627-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS-MADRAY COUNSELING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "LICENSED CLINICAL PROFESSIONAL COUN",
        "authorized_official_telephone_number": "301-627-0399",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LCO307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.