Individual provider Active NPI

Nazarell Williams

  • Case Manager/Care Coordinator
  • Richmond, VA
National Provider Identifier
1417311101
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
6767 Forest Hill Ave
Suite 216
Richmond, VA 23225-1856
Phone
(804) 497-6694
Fax
(804) 918-9320
NPI assigned
Apr 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Case Manager/Care Coordinator 171M00000X Primary
Counselor 101Y00000X 0704006679 VA
Mental Health Counselor 101YM0800X 0704006679 VA
Community Health Worker 172V00000X 198003001 VA

Addresses

Primary practice location

6767 Forest Hill Ave
Suite 216
Richmond, VA 23225-1856

Mailing address

2717 Grand Meadows CT
Richmond, VA 23223-2174
Phone (804) 497-6694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241220000658 VA Practitioner - Psychologist Billing Independently 3678000262 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0704006679VAMDMental Health Counselor
198003001VAMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nazarell Williams LLC Mental Health CurrentSince Aug 22, 2024 Accepting new patients
Stratavate Resource Group of Virginia Case Manager/Care Coordinator CurrentSince May 9, 2021 Accepting new patients

Locations

6767 Forest Hill Ave
Ste 216
Richmond, VA 23225
Phone (804) 497-6694

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1417311101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 GRAND MEADOWS CT",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232232174",
            "telephone_number": "804-497-6694",
            "fax_number": "804-918-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 FOREST HILL AVE",
            "address_2": "SUITE 216",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232251856",
            "telephone_number": "804-497-6694",
            "fax_number": "804-918-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "NAZARELL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-08",
        "last_updated": "2021-04-09",
        "certification_date": "2021-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0704006679",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704006679",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "VA",
            "license": "198003001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.