Individual provider Active NPI

Beverly Natausha Williams

  • Rehabilitation Practitioner
  • Phoenix, AZ
National Provider Identifier
1285063065
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Practice address
3101 N Central Ave Ste 171
Phoenix, AZ 85012-3611
Phone
(702) 601-2697
Fax
(602) 801-2800
NPI assigned
Nov 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X Primary

Addresses

Primary practice location

3101 N Central Ave Ste 171
Phoenix, AZ 85012-3611

Mailing address

3101 N Central Ave Ste 171
Phoenix, AZ 85012-3611
Phone (702) 601-2697

Other practice location 1

5937 Desert Twilight Ct
Henderson, NV 89011-4926
Phone (702) 601-2697

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

Practice roles

OrganizationSpecialtyStatusNew patients
A Good Place Counseling Center LLC CurrentSince Sep 20, 2020 Accepting new patients
Trillity Care Counseling LLC Current Accepting new patients

Locations

3101 N Central Ave
Ste 171
Phoenix, AZ 85012
Phone (702) 601-2697

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1285063065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 N CENTRAL AVE STE 171",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123611",
            "telephone_number": "702-601-2697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 N CENTRAL AVE STE 171",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123611",
            "telephone_number": "702-601-2697",
            "fax_number": "602-801-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5937 Desert Twilight Ct",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890114926",
            "country_code": "US",
            "telephone_number": "702-601-2697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BEVERLY",
        "middle_name": "NATAUSHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-02",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.