Individual provider Active NPI

Glenn D Williams, D.MIN, P.C.

  • Pastoral Counselor
  • Louisville, KY
National Provider Identifier
1144774639
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
License
127375 Issued in KY
Practice address
1700 Ups Dr
Suite 107
Louisville, KY 40223-4046
Phone
(502) 339-4511
Fax
(502) 339-4513
NPI assigned
Aug 12, 2016
Last updated
Aug 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X 127375 KY Primary

Addresses

Primary practice location

1700 Ups Dr
Suite 107
Louisville, KY 40223-4046

Mailing address

1700 Ups Dr
Suite 107
Louisville, KY 40223-4046
Phone (502) 339-4511

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
127375KYMDPastoral Counselor

NPI Registry JSON

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470960000000",
    "number": "1144774639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 UPS DR",
            "address_2": "SUITE 107",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234046",
            "telephone_number": "502-339-4511",
            "fax_number": "502-339-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 UPS DR",
            "address_2": "SUITE 107",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234046",
            "telephone_number": "502-339-4511",
            "fax_number": "502-339-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "GLENN",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "D.MIN, P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-12",
        "last_updated": "2016-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "KY",
            "license": "127375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; 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.