Active NPI
Stacye Williams, RAC
- Addiction (Substance Use Disorder) Counselor
- Saginaw, MI
National Provider Identifier
1184013682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- DEVELOPMT PLAN MCBAP
- Practice address
- 127 N Warren Ave
Saginaw, MI 48607 - Phone
- (989) 754-8598
- NPI assigned
- Jan 21, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | DEVELOPMT PLAN MCBAP | MI | Primary |
Addresses
Primary practice location
127 N Warren Ave
Saginaw, MI 48607
Mailing address
127 N Warren Ave
Saginaw, MI 48607
Phone (989) 754-8598
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
| License | State | Type | Specialty |
|---|---|---|---|
| DEVELOPMT PLAN MCBAP | MI | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421798400000",
"number": "1184013682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 N WARREN AVE",
"city": "SAGINAW",
"state": "MI",
"postal_code": "48607",
"telephone_number": "989-754-8598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 N WARREN AVE",
"city": "SAGINAW",
"state": "MI",
"postal_code": "48607",
"telephone_number": "989-754-8598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "STACYE",
"credential": "RAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-21",
"last_updated": "2015-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "DEVELOPMT PLAN MCBAP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.