Active NPI
Christinna Williams
- Mental Health Counselor
- Fresno, CA
National Provider Identifier
1295073674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 3147 N Millbrook Ave
Fresno, CA 93703-1425 - Phone
- (559) 600-6675
- NPI assigned
- Jan 20, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 62174 | CA | |
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
3147 N Millbrook Ave
Fresno, CA 93703-1425
Mailing address
3133 N Millbrook Ave
Fresno, CA 93703-1425
Phone (559) 600-6675
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62174 | Other | CA | ASSOCIATE CLINICAL SOCIAL WORKER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560816000000",
"number": "1295073674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3133 N MILLBROOK AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937031425",
"telephone_number": "559-600-6675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3147 N MILLBROOK AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937031425",
"telephone_number": "559-600-6675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CHRISTINNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-20",
"last_updated": "2019-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "62174",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASSOCIATE CLINICAL SOCIAL WORKER",
"identifier": "62174",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.