Active NPI
Charosnese Celese Williams
- Mental Health Counselor
- Valley Village, CA
National Provider Identifier
1124788278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7967
- Practice address
- 12501 Chandler Blvd
Valley Village, CA 91607-1941 - Phone
- (601) 281-8821
- NPI assigned
- Dec 29, 2021
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 7967 | CA | Primary |
Addresses
Primary practice location
12501 Chandler Blvd
Valley Village, CA 91607-1941
Mailing address
12501 Chandler Blvd
Valley Village, CA 91607-1941
Phone (601) 281-8821
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 178.015836 | Medicaid | IL | |
| APCC7967 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://app.drchrono.com/accounts/login/ | Other |
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 |
|---|---|---|---|
| 7967 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640736000000",
"number": "1124788278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12501 CHANDLER BLVD",
"city": "VALLEY VILLAGE",
"state": "CA",
"postal_code": "916071941",
"telephone_number": "601-281-8821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12501 CHANDLER BLVD",
"city": "VALLEY VILLAGE",
"state": "CA",
"postal_code": "916071941",
"telephone_number": "601-281-8821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CHAROSNESE",
"middle_name": "CELESE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-29",
"last_updated": "2021-12-29",
"certification_date": "2021-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "7967",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "178.015836",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "APCC7967",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://app.drchrono.com/accounts/login/",
"affiliation": "N",
"endpointDescription": "Family Time Center",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Valley Village",
"address_1": "12501 Chandler Blvd",
"city": "Valley Village",
"state": "CA",
"country_code": "US",
"postal_code": "916071941",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Valley Village, CA
- Heather Christine Weingold, LCSW
- Wellness Wings Home Health, Inc.
- Ariel Wells, BCBA
- Wescare Home Health Providers Inc
- Patricia A Wilkie, D.C.
- Andrenique L. Wilson
- Jack Robert Witz, L.AC.
- Yolanda E. Cortez DDS Ins (International Dental Estudio)
- Cindy Mihyun Yoon, L.AC.
- Yury B. Geylikman, a Professional Dental Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.