Active NPI
Judy Stearns Williams, L.P.C.
- School Counselor
- Jenison, MI
National Provider Identifier
1376909549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 6401004896
- Practice address
- 8295 20TH Ave
Jenison, MI 49428-9595 - Phone
- (616) 443-5477
- NPI assigned
- Jan 4, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 6401004896 | MI | Primary |
Addresses
Primary practice location
8295 20TH Ave
Jenison, MI 49428-9595
Mailing address
1549 Rosalind Rd SE
Grand Rapids, MI 49506-4131
Phone (616) 443-5477
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 |
|---|---|---|---|
| 6401004896 | MI | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451865600000",
"number": "1376909549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1549 ROSALIND RD SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495064131",
"telephone_number": "616-443-5477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8295 20TH AVE",
"city": "JENISON",
"state": "MI",
"postal_code": "494289595",
"telephone_number": "616-443-5477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JUDY",
"middle_name": "STEARNS",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-04",
"last_updated": "2016-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "MI",
"license": "6401004896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jenison, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.