Active NPI
Suzanne Williams, PSY.D.
- Mental Health Counselor
- Salem, OR
National Provider Identifier
1396090437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2600 Center St NE
Salem, OR 97301-2669 - Phone
- (503) 572-6070
- NPI assigned
- Jul 15, 2012
- 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 | Primary |
Addresses
Primary practice location
2600 Center St NE
Salem, OR 97301-2669
Mailing address
6210 SW Pomona St Apt 31
Portland, OR 97219-6786
Phone (039) 097-7663
Other names 1
- Dr. Suzanne Williams
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | suzanne.williams@dhsoha.state.or.us |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590969600000",
"number": "1396090437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6210 SW POMONA ST APT 31",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972196786",
"telephone_number": "039-097-7663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 CENTER ST NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973012669",
"telephone_number": "503-572-6070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "SUZANNE",
"name_prefix": "Miss",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-15",
"last_updated": "2020-06-01",
"certification_date": "2020-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "suzanne.williams@dhsoha.state.or.us",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "2600 Center St NE",
"city": "Salem",
"state": "OR",
"country_code": "US",
"postal_code": "973012669",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SUZANNE",
"last_name": "WILLIAMS",
"prefix": "DR.",
"credential": "PSY.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.