Active NPI
Freddie Eugene Williams, LMFT
- Marriage & Family Therapist
- Lancaster, CA
National Provider Identifier
1235430596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 106687
- Practice address
- 45257 Date Ave
Lancaster, CA 93534-1982 - Phone
- (661) 435-9068
- NPI assigned
- Nov 3, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Marriage & Family Therapist | 106H00000X | 73687 | CA | |
| Marriage & Family Therapist | 106H00000X | 106687 | CA | Primary |
Addresses
Primary practice location
45257 Date Ave
Lancaster, CA 93534-1982
Mailing address
45257 Date Ave
Lancaster, CA 93534-1982
Phone (661) 435-9068
Other practice location 1
7621 Canoga Ave
Canoga Park, CA 91304-4912
Phone (818) 598-6900
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 |
|---|---|---|---|
| 106687 | CA | MD | General Practice Dentistry |
| 73687 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673913600000",
"number": "1235430596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45257 DATE AVE",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935341982",
"telephone_number": "661-435-9068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45257 DATE AVE",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935341982",
"telephone_number": "661-435-9068"
}
],
"practiceLocations": [
{
"address_1": "7621 Canoga Ave",
"address_purpose": "LOCATION",
"city": "Canoga Park",
"state": "CA",
"postal_code": "913044912",
"country_code": "US",
"telephone_number": "818-598-6900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "FREDDIE",
"middle_name": "EUGENE",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-03",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "73687",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "106687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.