Active NPI
Tashayla Williams
- Professional Counselor
- Capitol Heights, MD
National Provider Identifier
1063879468
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jul 20, 2022.
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC6803
- Practice address
- 907 Nova Ave
Capitol Heights, MD 20743-4060 - Phone
- (240) 210-5451
- NPI assigned
- Jan 15, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC6803 | MD | Primary |
Addresses
Primary practice location
907 Nova Ave
Capitol Heights, MD 20743-4060
Mailing address
907 Nova Ave
Capitol Heights, MD 20743-4060
Phone (240) 210-5451
Other names 1
- Mrs. Tashayla Williams
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC6803 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452816000000",
"number": "1063879468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "907 NOVA AVE",
"city": "CAPITOL HEIGHTS",
"state": "MD",
"postal_code": "207434060",
"telephone_number": "240-210-5451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 NOVA AVE",
"city": "CAPITOL HEIGHTS",
"state": "MD",
"postal_code": "207434060",
"telephone_number": "240-210-5451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "TASHAYLA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-15",
"last_updated": "2016-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC6803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TASHAYLA",
"last_name": "WILLIAMS",
"prefix": "MRS.",
"credential": "LCPC, NCC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Capitol Heights, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.