Active NPI
Anne Marie Williams, L.P.C., L.I.S.A.C.
- Mental Health Counselor
- Phoenix, AZ
National Provider Identifier
1376909911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC-11752
- Practice address
- 4720 E Cholla St # 102
Phoenix, AZ 85028-2304 - Phone
- (623) 850-4820
- NPI assigned
- Jan 12, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LISAC-10391 | AZ | |
| Mental Health Counselor | 101YM0800X | LPC-11752 | AZ | Primary |
Addresses
Primary practice location
4720 E Cholla St # 102
Phoenix, AZ 85028-2304
Mailing address
4720 E Cholla St # 102
Phoenix, AZ 85028-2304
Phone (623) 850-4820
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 |
|---|---|---|---|
| LISAC-10391 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
| LPC-11752 | AZ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452556800000",
"number": "1376909911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4720 E CHOLLA ST # 102",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850282304",
"telephone_number": "623-850-4820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4720 E CHOLLA ST # 102",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850282304",
"telephone_number": "623-850-4820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ANNE",
"middle_name": "MARIE",
"credential": "L.P.C., L.I.S.A.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-12",
"last_updated": "2016-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "LISAC-10391",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LPC-11752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.