Edmond Williams Jr.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Practice address

6216 S Lewis Ave Ste 103
Tulsa, OK 74136-1017

Phone

(918) 208-0575

NPI assigned

Jun 5, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• New Beginnings Counseling Agency

  • Community/Behavioral Health Agency
  • Tulsa, OK
  • NPI 1851853188
  NPD
• Rein Counseling and Consulting, LLC

  • Mental Health Counselor
  • Tulsa, OK
  • NPI 1104561216
  NPD

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1164046074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 N 25TH WEST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741266643",
            "telephone_number": "918-402-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6216 S LEWIS AVE STE 103",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361017",
            "telephone_number": "918-208-0575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7901 NE 10th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731103600",
            "country_code": "US",
            "telephone_number": "405-731-9012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "EDMOND",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-05",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Lavonne Opal Williams, BSN, RN
• David Carl Williams
• Deshana Rachelle Williams, CNA
• Devin Ray Williams, B.S.
• Dreyson Williams
• Elizabeth Williams
• Ellen Marie Williams, COTAL
• Elwood Fray Williams III, M.D.
• Emily Ann Williams, MD
• Felicia Williams

• Case Management Agency in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Case Management Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; 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.