Active NPI
Michael D Williams
- Mental Health Counselor
- Little Rock, AR
National Provider Identifier
1356077069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A2206008
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| A2206008 | AR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Napa Valley Counseling Center | Mental Health | Current | 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.