Active NPI
Tracy Hanlon Williams
- Mental Health Counselor
- West Palm Beach, FL
National Provider Identifier
1376764274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH5318
- Practice address
- 400 Executive Center Drive
Suite 202
West Palm Beach, FL 33401 - Phone
- (661) 644-5184
- Fax
- (561) 697-9984
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- No
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 | MH5318 | FL | Primary |
Addresses
Primary practice location
400 Executive Center Drive
Suite 202
West Palm Beach, FL 33401
Mailing address
400 Executive Center Drive
Suite 202
West Palm Beach, FL 33401
Phone (661) 644-5184
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z9895 | Other | FL | BC BS OUT OF NETWORK |
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 |
|---|---|---|---|
| MH5318 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376764274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 EXECUTIVE CENTER DRIVE",
"address_2": "SUITE 202",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "33401",
"telephone_number": "661-644-5184",
"fax_number": "561-697-9984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 EXECUTIVE CENTER DRIVE",
"address_2": "SUITE 202",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "33401",
"telephone_number": "661-644-5184",
"fax_number": "561-697-9984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANLON WILLIAMS",
"first_name": "TRACY",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH5318",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS OUT OF NETWORK",
"identifier": "Z9895",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.