Individual provider Active NPI

James Mashaun Williams, CSAC, LPC-IT, CSIT

  • Addiction (Substance Use Disorder) Counselor
  • Oshkosh, WI
National Provider Identifier
1295064558
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
15549-132 Issued in WI
Practice address
404 N Main St Ste 501
Oshkosh, WI 54901-4952
Phone
(920) 479-1087
NPI assigned
Dec 16, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15549-132 WI Primary
Professional Counselor 101YP2500X 1515-226 WI

Addresses

Primary practice location

404 N Main St Ste 501
Oshkosh, WI 54901-4952

Mailing address

404 N Main St Ste 501
Oshkosh, WI 54901-4952
Phone (920) 479-1087

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

LicenseStateTypeSpecialty
15549-132WIMDAddiction (Substance Use Disorder) Counselor
1515-226WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
WC&C-Williams Counseling and Consultation Past Accepting new patients

Organizations & group practices 1

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": "1260921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1295064558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 N MAIN ST STE 501",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549014952",
            "telephone_number": "920-479-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 N MAIN ST STE 501",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549014952",
            "telephone_number": "920-479-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JAMES",
        "middle_name": "MASHAUN",
        "name_prefix": "Mr.",
        "credential": "CSAC, LPC-IT, CSIT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-16",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15549-132",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "1515-226",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.