Mardria Mae Williams

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2051 Issued in AZ

Practice address

5511 E 7TH St
Tucson, AZ 85711-3201

Phone

(520) 748-0230

Fax

(520) 748-0967

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1356449987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 E 7TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113201",
            "telephone_number": "520-748-0230",
            "fax_number": "520-748-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5511 E 7TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113201",
            "telephone_number": "520-748-0230",
            "fax_number": "520-748-0967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARDRIA",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "2051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "728496",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen A Williams, OCCUPATIONAL THERAPY
• Kerri Williams
• Linda Williams, MD
• Linda Kaye Williams, RDH
• Lindsay Williams
• Marjorie A Williams, MC, LISAC, LPC
• McKenna Williams, LAC
• Melissa Anne Williams
• Michaela Williams, RBT
• Michelle K B Williams, MD

• Mental Health Counselor in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.