Active NPI
Alice Maureen Williams, LPC, LMFT
- Marriage & Family Therapist
- Beaverton, OR
National Provider Identifier
1063530285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- T0596
- Practice address
- 12655 SW Center Street
Suite 470
Beaverton, OR 97005 - Phone
- (503) 227-2150
- Fax
- (888) 972-8764
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 40724 | CA | |
| Marriage & Family Therapist | 106H00000X | T0596 | OR | Primary |
Addresses
Primary practice location
12655 SW Center Street
Suite 470
Beaverton, OR 97005
Mailing address
2850 Cedar Hills Blvd.
Box 137
Beaverton, OR 97005
Phone (503) 227-2150
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
| License | State | Type | Specialty |
|---|---|---|---|
| 40724 | CA | MD | Marriage & Family Therapist |
| T0596 | OR | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468540800000",
"number": "1063530285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2850 CEDAR HILLS BLVD.",
"address_2": "BOX 137",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "97005",
"telephone_number": "503-227-2150",
"fax_number": "888-972-8764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12655 SW CENTER STREET",
"address_2": "SUITE 470",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "97005",
"telephone_number": "503-227-2150",
"fax_number": "888-972-8764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ALICE",
"middle_name": "MAUREEN",
"name_prefix": "Ms.",
"credential": "LPC, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2016-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "40724",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "T0596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.