Individual provider Active NPI

Michael D Williams

  • Mental Health Counselor
  • Little Rock, AR
National Provider Identifier
1356077069
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A2206008 Issued in AR
Practice address
1701 Centerview Dr Ste 102
Little Rock, AR 72211-4311
Phone
(501) 224-0318
NPI assigned
Jul 26, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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 A2206008 AR Primary

Addresses

Primary practice location

1701 Centerview Dr Ste 102
Little Rock, AR 72211-4311

Mailing address

1701 Centerview Dr Ste 102
Little Rock, AR 72211-4311
Phone (501) 224-0318

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
A2206008ARMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Napa Valley Counseling Center Mental Health CurrentSince Jun 9, 2024 Accepting new patients

Locations

1701 Centerview Dr
Ste 102
Little Rock, AR 72211
Phone (501) 224-0318

Organizations & group practices 1

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": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1356077069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 CENTERVIEW DR STE 102",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114311",
            "telephone_number": "501-224-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 CENTERVIEW DR STE 102",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114311",
            "telephone_number": "501-224-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A2206008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.