Individual provider Active NPI

William Dawson, LMFT

  • Marriage & Family Therapist
  • Carson, CA
National Provider Identifier
1235875170
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
102311 Issued in CA
Practice address
637 E Albertoni St
Carson, CA 90746-1539
Phone
(916) 905-0506
NPI assigned
May 12, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 102311 CA Primary

Addresses

Primary practice location

637 E Albertoni St
Carson, CA 90746-1539

Mailing address

15507 S Normandie Ave # 237
Gardena, CA 90247-4013
Phone (916) 905-0506

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://william-dawson.clientsecure.me Direct
CONNECT URL https://william-dawson.clientsecure.me Direct

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
102311CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1235875170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15507 S NORMANDIE AVE # 237",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474013",
            "telephone_number": "916-905-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 E ALBERTONI ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907461539",
            "telephone_number": "916-905-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "WILLIAM",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "102311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://william-dawson.clientsecure.me",
            "affiliation": "N",
            "endpointDescription": "Secure domain operated by Simple Practice  for communicaton, payments",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "637 E Albertoni St",
            "city": "Carson",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907461539",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://william-dawson.clientsecure.me",
            "affiliation": "N",
            "endpointDescription": "Simple Practice secure portal for all client communicatons and payments",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "637 E Albertoni St",
            "city": "Carson",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907461539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.