Individual provider Active NPI

Donavan Juvar Williams

  • Addiction (Substance Use Disorder) Counselor
  • Saginaw, MI
National Provider Identifier
1356019384
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
925 N River Rd
Saginaw, MI 48609-6831
Phone
(989) 781-2780
Fax
(989) 781-7152
NPI assigned
Sep 3, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

925 N River Rd
Saginaw, MI 48609-6831

Mailing address

1030 N River Rd
Saginaw, MI 48609-6832
Phone (989) 596-3557

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

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Cross Servies CurrentSince Sep 5, 2021 Accepting new patients
Holy Cross Servies Addiction (Substance Use Disorder) CurrentSince Sep 5, 2021 Accepting new patients

Locations

925 N River Rd
Saginaw, MI 48609
Phone (989) 397-2716

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/holycrossservices/r4/

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": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1356019384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 N RIVER RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486096832",
            "telephone_number": "989-596-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 N RIVER RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486096831",
            "telephone_number": "989-781-2780",
            "fax_number": "989-781-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DONAVAN",
        "middle_name": "JUVAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-03",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.