Individual provider Active NPI

Trisha Williams

  • Addiction (Substance Use Disorder) Counselor
  • Stockton, CA
National Provider Identifier
1417493339
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
6480 Issued in CA
Practice address
1839 S El Dorado St
Stockton, CA 95206-2025
Phone
(094) 664-2002
Fax
(209) 938-0281
NPI assigned
Jan 17, 2017
Last updated
Sep 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 6480 CA Primary

Addresses

Primary practice location

1839 S El Dorado St
Stockton, CA 95206-2025

Mailing address

1839 S El Dorado St
Stockton, CA 95206-2025
Phone (209) 466-4200

Other practice location 1

541 S Ham Ln Ste A&b
Lodi, CA 95242-3059
Phone (209) 224-8940

Other practice location 2

590 Rio Lindo Ave
Chico, CA 95926-1817
Phone (530) 897-0562

Other practice location 3

3707 E Shields Ave
Fresno, CA 93726-7029
Phone (559) 229-9040

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

LicenseStateTypeSpecialty
6480CAMDDoula

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Treatment Centers, LLC Past Accepting new patients
Aegis Treatment Centers, LLC PastSince Dec 15, 2019 Accepting new patients
Medmark Treatment Centers - Stockton, Inc. Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1417493339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 S EL DORADO ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952062025",
            "telephone_number": "209-466-4200",
            "fax_number": "209-466-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 S EL DORADO ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952062025",
            "telephone_number": "094-664-2002",
            "fax_number": "209-938-0281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "541 S Ham Ln Ste A&b",
            "address_purpose": "LOCATION",
            "city": "Lodi",
            "state": "CA",
            "postal_code": "952423059",
            "country_code": "US",
            "telephone_number": "209-224-8940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "590 Rio Lindo Ave",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959261817",
            "country_code": "US",
            "telephone_number": "530-897-0562",
            "fax_number": "530-345-0261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3707 E Shields Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937267029",
            "country_code": "US",
            "telephone_number": "559-229-9040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TRISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-17",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "6480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.