Active NPI
Lakisha Williams
- Counselor
- Van Buren TWP, MI
National Provider Identifier
1376299784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 1926
- Practice address
- 9645 Madison Dr
Van Buren TWP, MI 48111-1682 - Phone
- (313) 384-0082
- NPI assigned
- Feb 24, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1926 | MN | |
| Counselor | 101Y00000X | 1926 | MN | Primary |
Addresses
Primary practice location
9645 Madison Dr
Van Buren TWP, MI 48111-1682
Mailing address
9645 Madison Dr
Van Buren TWP, MI 48111-1682
Phone (313) 384-0082
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 |
|---|---|---|---|
| 1926 | MN | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645660800000",
"number": "1376299784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9645 MADISON DR",
"city": "VAN BUREN TWP",
"state": "MI",
"postal_code": "481111682",
"telephone_number": "313-384-0082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9645 MADISON DR",
"city": "VAN BUREN TWP",
"state": "MI",
"postal_code": "481111682",
"telephone_number": "313-384-0082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "LAKISHA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-24",
"last_updated": "2022-02-24",
"certification_date": "2022-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "1926",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MN",
"license": "1926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Buren TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.