Individual provider Active NPI

Sierra Williams, LLC

  • Professional Counselor
  • Richmond, TX
National Provider Identifier
1164150074
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701011597 Issued in VA
Practice address
11030 Heartland Grove Dr
Richmond, TX 77406-4355
Phone
(804) 608-5053
NPI assigned
Aug 9, 2022
Last updated
Aug 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 91438 TX
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X 0701011597 VA
Professional Counselor 101YP2500X 0701011597 VA Primary

Addresses

Primary practice location

11030 Heartland Grove Dr
Richmond, TX 77406-4355

Mailing address

1708 Spring Green Blvd Ste 120
Katy, TX 77494-7463
Phone (804) 608-5053

Other practice location 1

6201 keaneland drive
Richmond, VA 23225
Phone (804) 503-3136

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address SierraWilliams@Breakthroughhealingwellness.info
Direct Messaging Address SierraWilliams@Breakthroughhealingwellness.info
Direct Messaging Address SierraWilliams@Breakthroughhealingwellness.info Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240523001805 TX Practitioner - Mental Health Counselor 8921440884 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
91438TXMDProfessional Counselor
0701011597VAMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Breakthrough Healing & Wellness LLC Professional CurrentSince Apr 15, 2024 Accepting new patients

Locations

2401 Fountain View Dr
Ste 547
Houston, TX 77057
Phone (804) 608-5053

1708 Spring Green Blvd
Ste 120
Katy, TX 77494
Phone (713) 566-1999

1601 Willow Lawn Dr
Ste 304
Richmond, VA 23230
Phone (804) 381-4783

Interoperability endpoints

  • Direct secure messaging: sierrawilliams@breakthroughhealingwellness.info

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1164150074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 SPRING GREEN BLVD STE 120",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947463",
            "telephone_number": "804-608-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11030 HEARTLAND GROVE DR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774064355",
            "telephone_number": "804-608-5053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6201 keaneland drive",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "23225",
            "country_code": "US",
            "telephone_number": "804-503-3136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SIERRA",
        "credential": "LLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "91438",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "VA",
            "license": "0701011597",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701011597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SierraWilliams@Breakthroughhealingwellness.info",
            "affiliation": "N",
            "address_1": "6201 Keaneland Dr",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232255927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SierraWilliams@Breakthroughhealingwellness.info",
            "affiliation": "N",
            "endpointDescription": "6201 keaneland drive Richmond Virginia 23225",
            "address_1": "6201 Keaneland Dr",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232255927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SierraWilliams@Breakthroughhealingwellness.info",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1708 Spring Green Blvd Ste 120",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774947463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.