Tashae Williams, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

014805 Issued in NY

Practice address

2613 W Henrietta Rd
Rochester, NY 14623-2327

Phone

(585) 445-5310

Fax

(585) 427-8957

NPI assigned

Jun 30, 2016

Reactivated

Mar 10, 2023

Sex

Female

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

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.

• Skip of New York

  • Case Management Agency
  • Rochester, NY
  • NPI 1730500687
  NPD (past)

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1225489271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2613 W HENRIETTA RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146232327",
            "telephone_number": "585-313-5845",
            "fax_number": "585-427-8957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2613 W HENRIETTA RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146232327",
            "telephone_number": "585-445-5310",
            "fax_number": "585-427-8957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "865 Old Country Rd # 148",
            "address_purpose": "LOCATION",
            "city": "Riverhead",
            "state": "NY",
            "postal_code": "119012106",
            "country_code": "US",
            "telephone_number": "631-921-8572",
            "fax_number": "208-668-8975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TASHAE",
        "name_prefix": "Miss",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "deactivation_date": "2022-09-06",
        "reactivation_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "014805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Marie Williams, C PED
• Shundella Keara Williams
• Sofia N Williams
• Ta Via Williams, LPN
• Tania K Williams, OTR/L
• Tenessa Williams, L.P.N.
• Thomas Williams, M.D.
• Tiffani Nicole Williams, LMSW
• Toni Williams
• Tricia Williams

• Mental Health Counselor in Rochester, NY
• Providers in Rochester, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.