Active NPI
Demetria M. Williams, LMHC
- Mental Health Counselor
- Vero Beach, FL
National Provider Identifier
1134587504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 505 Beachland Blvd Ste 1-2027
Vero Beach, FL 32963-1710 - Phone
- (772) 202-0178
- Fax
- (772) 672-3816
- NPI assigned
- Feb 1, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
505 Beachland Blvd Ste 1-2027
Vero Beach, FL 32963-1710
Mailing address
505 Beachland Blvd Ste 1-2027
Vero Beach, FL 32963-1710
Phone (772) 202-0178
Other names 1
- Ms. Demetria A. Marria
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Take Flight Counseling & Consulting, LLC | Mental Health | Current | Accepting new patients |
Locations
505 Beachland Blvd
Ste 12027
Vero Beach, FL 32963
Phone (772) 202-0178
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Vero Beach, FL
- NPI 1508470550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1134587504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 BEACHLAND BLVD STE 1-2027",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329631710",
"telephone_number": "772-202-0178",
"fax_number": "772-672-3816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 BEACHLAND BLVD STE 1-2027",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329631710",
"telephone_number": "772-202-0178",
"fax_number": "772-672-3816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "DEMETRIA",
"middle_name": "M.",
"name_prefix": "Mrs.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-01",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEMETRIA",
"last_name": "MARRIA",
"middle_name": "A.",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.