Stanley Allen Williams, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT2667 Issued in FL

Practice address

17 Pacific St Ste B
St Augustine, FL 32084-2784

Phone

(904) 315-1586

NPI assigned

Feb 20, 2013

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)

Enrolled

State licenses

Practice roles

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.

• Biofeedback Associates of NE FL

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1235152604
  NPD (past)

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1174863682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 BRENTWOOD CT",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320863241",
            "telephone_number": "904-315-1586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 PACIFIC ST STE B",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320842784",
            "telephone_number": "904-315-1586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11512 Lake Mead Ave Unit 703",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322569681",
            "country_code": "US",
            "telephone_number": "904-646-0054",
            "fax_number": "904-646-0630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "STANLEY",
        "middle_name": "ALLEN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-20",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc Anthony Williams, OTD, OTR/L
• Michelle Elizabeth Williams, O.T.
• Quantravius Earl Williams
• Riley Williams, PT
• Santana Williams, BEHAVIOR TECHNICIAN
• Trinity Williams, PHARM.D
• Victoria Williams
• Latascha Williamson
• Williemae Mind & Body Inc Dba Stretchlab First Coast
• Angelique Willis, APRN

• Marriage & Family Therapist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.