Individual provider Active NPI

Danielle Williams, M.ED., LPC, LADC

  • Professional Counselor
  • Oklahoma City, OK
National Provider Identifier
1447535026
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
11212 N May Ave Ste 107
Oklahoma City, OK 73120-6317
Phone
(405) 229-3237
Fax
(405) 810-5972
NPI assigned
Oct 14, 2011
Last updated
Aug 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

11212 N May Ave Ste 107
Oklahoma City, OK 73120-6317

Mailing address

PO Box 20326
Oklahoma City, OK 73156-0326
Phone (405) 229-3237

Other practice location 1

6418 N Santa Fe Ave Ste A
Oklahoma City, OK 73116-9130
Phone (405) 519-7471

Other identifiers 4

IdentifierTypeStateIssuer
2756OtherOKADSAC ASSESSOR
5258OtherOKLICENSED PROFESSIONAL COUNSELOR (LPC)
758733OtherNATIONAL CERTIFIED COUNSELOR (NCC)
1111OtherOKLICENSED ALCOHOL & DRUG COUNSELOR (LADC/MH)

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
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
The Laughing Shark, Inc. Addiction (Substance Use Disorder) CurrentSince Aug 16, 2020 Accepting new patients

Locations

11212 N May Ave
Ste 107
Oklahoma City, OK 73120
Phone (405) 229-3237

6418 N Santa Fe Ave
Ste A
Oklahoma City, OK 73116
Phone (405) 519-7471

Organizations & group practices 1

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": "1318550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1447535026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20326",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731560326",
            "telephone_number": "405-229-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11212 N MAY AVE STE 107",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731206317",
            "telephone_number": "405-229-3237",
            "fax_number": "405-810-5972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6418 N Santa Fe Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731169130",
            "country_code": "US",
            "telephone_number": "405-519-7471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DANIELLE",
        "credential": "M.ED., LPC, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-14",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADSAC ASSESSOR",
            "identifier": "2756",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR (LPC)",
            "identifier": "5258",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL CERTIFIED COUNSELOR (NCC)",
            "identifier": "758733",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED ALCOHOL & DRUG COUNSELOR (LADC/MH)",
            "identifier": "1111",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.

Verify at the official NPI Registry.