Active NPI
Aeryn Williams, LPCC-S
- Mental Health Counselor
- Lima, OH
National Provider Identifier
1104217322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C1300117
- Practice address
- 530 S Main St
Lima, OH 45804-1500 - Phone
- (419) 222-1168
- NPI assigned
- Feb 10, 2015
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | E1300117-SUPV | OH | |
| Mental Health Counselor | 101YM0800X | C1300117 | OH | Primary |
Addresses
Primary practice location
530 S Main St
Lima, OH 45804-1500
Mailing address
204 1/2 Monroe Ave
Findlay, OH 45840-3736
Phone (860) 519-6311
Other practice location 1
200 W Sandusky St
Findlay, OH 45840-3218
Phone (419) 386-0056
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 |
|---|---|---|---|
| C1300117 | OH | MD | Mental Health Counselor |
| E1300117-SUPV | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564531200000",
"number": "1104217322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 1/2 MONROE AVE",
"city": "FINDLAY",
"state": "OH",
"postal_code": "458403736",
"telephone_number": "860-519-6311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 S MAIN ST",
"city": "LIMA",
"state": "OH",
"postal_code": "458041500",
"telephone_number": "419-222-1168"
}
],
"practiceLocations": [
{
"address_1": "200 W Sandusky St",
"address_purpose": "LOCATION",
"city": "Findlay",
"state": "OH",
"postal_code": "458403218",
"country_code": "US",
"telephone_number": "419-386-0056",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "AERYN",
"credential": "LPCC-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-10",
"last_updated": "2019-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E1300117-SUPV",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C1300117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.