Organization Active NPI

Brandi V. Williamson

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1184008732
Registry record updated Jul 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BRANDI V. WILLIAMSON
Practice address
12250 Sumter Square Dr W
Jacksonville, FL 32218-6125
Phone
(904) 521-6416
Fax
(904) 358-1551
NPI assigned
Jul 14, 2015
Last updated
Jul 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2015

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

Authorized official

Name
Mrs. Andria Myers
Title
Client Financial Services Coord
Phone
(904) 358-1211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

12250 Sumter Square Dr W
Jacksonville, FL 32218-6125

Mailing address

12250 Sumter Square Dr W
Jacksonville, FL 32218-6125
Phone (904) 521-6416

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436832000000",
    "number": "1184008732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12250 SUMTER SQUARE DR W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322186125",
            "telephone_number": "904-521-6416",
            "fax_number": "904-358-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12250 SUMTER SQUARE DR W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322186125",
            "telephone_number": "904-521-6416",
            "fax_number": "904-358-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDI V. WILLIAMSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-07-14",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "ANDRIA",
        "authorized_official_title_or_position": "CLIENT FINANCIAL SERVICES COORD",
        "authorized_official_telephone_number": "904-358-1211",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; 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.