Individual provider Active NPI

Aiyza Williams, RBT

  • Counselor
  • Olympia, WA
National Provider Identifier
1346985546
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
WILLIAN982D7 Issued in WA
Practice address
1202 Black Lake Blvd SW Ste B
Olympia, WA 98502-7208
Phone
(360) 878-8248
NPI assigned
May 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X WILLIAN982D7 WA Primary

Addresses

Primary practice location

1202 Black Lake Blvd SW Ste B
Olympia, WA 98502-7208

Mailing address

311 Wildcat St SE
Olympia, WA 98503-6743
Phone (360) 522-5924

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
WILLIAN982D7WAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Community Services WW CurrentSince Jun 25, 2023 Accepting new patients
Catholic Community Services of Western Washington Past Accepting new patients

Locations

1202 Black Lake Blvd SW
Ste B
Olympia, WA 98502
Phone (360) 968-3138

402 Yauger Way SW
Olympia, WA 98502
Phone (360) 968-0755

Organizations & group practices 2

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": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1346985546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 WILDCAT ST SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985036743",
            "telephone_number": "360-522-5924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 BLACK LAKE BLVD SW STE B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985027208",
            "telephone_number": "360-878-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "AIYZA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-02",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "WILLIAN982D7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.