Individual provider Active NPI

Ronda L. Williams, SA COUNSELOR - LADC

  • Addiction (Substance Use Disorder) Counselor
  • Caribou, ME
National Provider Identifier
1457497661
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LC3838 Issued in ME
Practice address
7 Hatch Dr Ste 290
Caribou, ME 04736-2095
Phone
(207) 492-1653
Fax
(207) 492-1633
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 LC3838 ME Primary

Addresses

Primary practice location

7 Hatch Dr Ste 290
Caribou, ME 04736-2095

Mailing address

62 Hillcrest Dr
Perth Andover, NEW BRUNSWICK E7H2H2
CA
Phone (506) 273-6351

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
LC3838MEMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1457497661",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "62 HILLCREST DR",
            "city": "PERTH ANDOVER",
            "state": "NEW BRUNSWICK",
            "postal_code": "E7H2H2",
            "telephone_number": "506-273-6351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 HATCH DR STE 290",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047362095",
            "telephone_number": "207-492-1653",
            "fax_number": "207-492-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "RONDA",
        "middle_name": "L.",
        "credential": "SA COUNSELOR - LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC3838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caribou, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.