Individual provider Active NPI

Nancy S Williamson, LMFT

  • Mental Health Counselor
  • Encinitas, CA
National Provider Identifier
1326063504
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MFC29725 Issued in CA
Practice address
741 Garden View CT Ste 107
Encinitas, CA 92024-2471
Phone
(760) 479-1749
Fax
(760) 599-8897
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MFC29725 CA Primary

Addresses

Primary practice location

741 Garden View CT Ste 107
Encinitas, CA 92024-2471

Mailing address

741 Garden View CT Ste 107
Encinitas, CA 92024-2471
Phone (760) 479-1749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20250205002174 CA Practitioner - Marriage and Family Therapist 9537699699 Practice locations: Encinitas, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2165 Valleydale LN
Encinitas, CA 92024-4242
Phone (760) 703-0744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC29725CAMDMental Health Counselor
29725CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326063504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 GARDEN VIEW CT STE 107",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242471",
            "telephone_number": "760-479-1749",
            "fax_number": "760-599-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 GARDEN VIEW CT STE 107",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242471",
            "telephone_number": "760-479-1749",
            "fax_number": "760-599-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "NANCY",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC29725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.