Individual provider Active NPI

Laurie Jean Williams

  • Addiction (Substance Use Disorder) Counselor
  • Washington, DC
National Provider Identifier
1073200465
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CACI1074 Issued in DC
Practice address
508 Kennedy St NW Unit 2
Washington, DC 20011-3137
Phone
(202) 948-6707
Fax
(202) 223-9632
NPI assigned
Apr 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CACI1074 DC Primary

Addresses

Primary practice location

508 Kennedy St NW Unit 2
Washington, DC 20011-3137

Mailing address

508 Kennedy St NW Unit 2
Washington, DC 20011-3137
Phone (202) 223-9630

Other practice location 1

920 Bellevue St SE
Washington, DC 20032-6030
Phone (202) 562-4939

Other names 1

  • Laurie Jean Williams Other name

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

LicenseStateTypeSpecialty
CACI1074DCMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1073200465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 KENNEDY ST NW UNIT 2",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200113137",
            "telephone_number": "202-223-9630",
            "fax_number": "202-223-9632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 KENNEDY ST NW UNIT 2",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200113137",
            "telephone_number": "202-948-6707",
            "fax_number": "202-223-9632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 Bellevue St SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200326030",
            "country_code": "US",
            "telephone_number": "202-562-4939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LAURIE",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "DC",
            "license": "CACI1074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "WILLIAMS",
            "middle_name": "JEAN",
            "credential": "MS, MACI, CACI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.