Williette Powell, LICDC

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

S.1700304 Issued in OH

Practice address

13422 Kinsman Rd
Cleveland, OH 44120-4410

Phone

(216) 283-4400

Fax

(216) 283-5359

NPI assigned

Feb 10, 2017

Sex

Female

Sole proprietor

Yes

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• I'M in Transition Ministries

  • Community/Behavioral Health Agency
  • South Euclid, OH
  • NPI 1669146890
  Medicare reassignment NPD
• I'M in Transition Ministries

  • Community/Behavioral Health Agency
  • South Euclid, OH
  • NPI 1982488375
  NPD

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1043758907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18400 E PARK DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441192057",
            "telephone_number": "216-283-4400",
            "fax_number": "216-283-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13422 KINSMAN RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441204410",
            "telephone_number": "216-283-4400",
            "fax_number": "216-283-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "WILLIETTE",
        "credential": "LICDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-10",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "161339",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "S.1700304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Rose Powell, APRN
• Taylor Lee Powell, MD
• Wanda Powell
• Whitney Lyn Powell
• William Maurice Powell
• Alexandra Power
• Powers Professional Corporation
• Allison Powers
• Christina M Powers, LPCC-S
• Katharine Cecily Powers, D.M.D.

• Peer Specialist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Peer Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.