Individual provider Active NPI

Ti'Auna La'Cole Williams, M.A., C.S.A.Y.C.

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1285918896
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
5023 E 56TH St
Suite 130
Indianapolis, IN 46226-1474
Phone
(317) 543-9347
Fax
(317) 543-9357
NPI assigned
Sep 30, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

5023 E 56TH St
Suite 130
Indianapolis, IN 46226-1474

Mailing address

6204 E 55TH PL
Indianapolis, IN 46226-1646
Phone (317) 721-7398

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240131003399 IN Practitioner - Mental Health Counselor 0840643318 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Adult and Child Mental Health Center Inc Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Adult and Child Mental Health Center Inc CurrentSince Jan 1, 2024 Accepting new patients
Inner You Counseling Services, LLC CurrentSince Apr 24, 2022 Accepting new patients

Locations

1860 Northwood Plz
Franklin, IN 46131
Phone (317) 346-2000

8320 Madison Ave
Indianapolis, IN 46227
Phone (317) 881-7061

Interoperability endpoints

  • Direct secure messaging: tiauna.williams.p1@direct.adultandchild.nextgenshare.com

Organizations & group practices 3

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": "1317340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1285918896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6204 E 55TH PL",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462261646",
            "telephone_number": "317-721-7398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5023 E 56TH ST",
            "address_2": "SUITE 130",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462261474",
            "telephone_number": "317-543-9347",
            "fax_number": "317-543-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TI'AUNA",
        "middle_name": "LA'COLE",
        "name_prefix": "Ms.",
        "credential": "M.A., C.S.A.Y.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-30",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.