Joyce Lenise Williams, LMSW, MSSW, CAADC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6801092955 Issued in MI

Practice address

1440 Fuller Ave SE
Grand Rapids, MI 49507-2191

Phone

(616) 235-2865

Fax

(616) 235-2938

NPI assigned

May 2, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Joyce Lenise Conley Former name

Medicare fee-for-service enrollment

Enrolled in MI

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Counseling Center of West Michigan, LLC

  • Mental Health Counselor
  • Grand Rapids, MI
  • NPI 1437610730
  Medicare reassignment NPD
• Downriver Mental Health Clinic PC

  dba Lifestance Health, Inc

  • Psychologist
  • Taylor, MI
  • NPI 1295866135
  Medicare reassignment NPD
• Pine Rest Christian Mental Health Services

  • Social Worker
  • Grand Rapids, MI
  • NPI 1922019157
  Medicare reassignment NPD
• Downriver Mental Health Clinic PC

  dba Advanced Counseling Services PC

  • Psychologist
  • Taylor, MI
  • NPI 1104930130
  NPD
• Pine Rest Christian Mental Health Services

  • Professional Counselor
  • Grand Rapids, MI
  • NPI 1386015683
  NPD
• Virtuwell Therapy, LLC

  • Mental Health Counselor
  • Grand Rapids, MI
  • NPI 1871356212
  NPD (past)

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1083059141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 68TH ST SE",
            "address_2": "PO BOX 165",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495486927",
            "telephone_number": "616-281-6363",
            "fax_number": "616-831-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 FULLER AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495072191",
            "telephone_number": "616-235-2865",
            "fax_number": "616-235-2938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5064 Stony Creek Ave NW",
            "address_purpose": "LOCATION",
            "city": "Comstock Park",
            "state": "MI",
            "postal_code": "493219213",
            "country_code": "US",
            "telephone_number": "616-325-4650",
            "fax_number": "616-608-4352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JOYCE",
        "middle_name": "LENISE",
        "name_prefix": "Mrs.",
        "credential": "LMSW, MSSW, CAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-02",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801092955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12533835",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOYCE",
            "last_name": "CONLEY",
            "middle_name": "LENISE",
            "prefix": "MS.",
            "credential": "LMSW, CAADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Jeannette Williams, N.P
• Joelle Williams
• Jonni Michelle Williams, PHARM.D.
• Joseph Williams, D.D.S
• Joseph Daniel Williams, FNP
• Katelyn Williams
• Kaylee Jo Williams
• Kelly Anne Williams, PT, DPT
• Keosha Williams
• Kim K Williams, RNBS

• Community/Behavioral Health Agency in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.