NPIMap

Organization Active NPI

Melissa M Williams Licensed Counselor

  • Professional Counselor
  • Columbia, MO
National Provider Identifier
1346671690
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2012011623 Issued in MO
Legal business name
MELISSA M WILLIAMS LICENSED COUNSELOR
Practice address
1804 Heriford Rd
Columbia, MO 65202-1942
Phone
(573) 639-1094
Fax
(573) 639-1094
NPI assigned
Dec 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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

Authorized official

Name
Melissa Michelle Williams, MED, LPCNPI 1881951069
Title
Owner/Counselor
Phone
(573) 639-1094

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 2012011623 MO Primary

Addresses

Primary practice location

1804 Heriford Rd
Columbia, MO 65202-1942

Mailing address

1804 Heriford Rd
Columbia, MO 65202
Phone (573) 639-1094

Other identifiers 1

IdentifierTypeStateIssuer
1881951069MedicaidMO

Other names 1

  • The Heriford House Counseling Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241230000743 MO Part B Supplier - Clinic/Group Practice 5294262440 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, MO

National Provider Directory

National Provider Directory
Tax ID family
Melissa M Williams Licensed Counselor2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3005A Chinaberry Dr
Columbia, MO 65201
Phone (573) 874-8818

1310 Old Highway 63 S
Ste 1
Columbia, MO 65201
Phone (573) 874-8818

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734998400000",
    "number": "1346671690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 HERIFORD RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65202",
            "telephone_number": "573-639-1094",
            "fax_number": "573-639-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 HERIFORD RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652021942",
            "telephone_number": "573-639-1094",
            "fax_number": "573-639-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA M WILLIAMS LICENSED COUNSELOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-11",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "573-639-1094",
        "authorized_official_credential": "MED, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2012011623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881951069",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Heriford House Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.