Active NPI
Ernie Michael Williams, CADC
- Addiction (Substance Use Disorder) Counselor
- Hazard, KY
National Provider Identifier
1417447863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 118110
- Practice address
- 48 Independence Dr
Hazard, KY 41701-9443 - Phone
- (606) 487-1646
- Fax
- (606) 487-1746
- NPI assigned
- May 11, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 118110 | KY | Primary |
Addresses
Primary practice location
48 Independence Dr
Hazard, KY 41701-9443
Mailing address
1182 Highway 3410
Mayking, KY 41837-9066
Phone (606) 899-0910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1183054 | Medicaid | KY |
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 |
|---|---|---|---|
| 118110 | KY | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1417447863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1182 HIGHWAY 3410",
"city": "MAYKING",
"state": "KY",
"postal_code": "418379066",
"telephone_number": "606-899-0910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 INDEPENDENCE DR",
"city": "HAZARD",
"state": "KY",
"postal_code": "417019443",
"telephone_number": "606-487-1646",
"fax_number": "606-487-1746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ERNIE",
"middle_name": "MICHAEL",
"credential": "CADC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-11",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KY",
"license": "118110",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1183054",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hazard, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.