Timothy Scott Williams, M.ED, CRC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-8651 Issued in ID

Practice address

1068 Owyhee St
Kuna, ID 83634-2206

Phone

(208) 917-0125

NPI assigned

Apr 19, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• Phalanx Wellness LLC

  dba Phalanx Wellness

  • Community/Behavioral Health Agency
  • Kuna, ID
  • NPI 1346016458
  NPD Authorized official

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1467033696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 OWYHEE ST",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836342206",
            "telephone_number": "208-917-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 OWYHEE ST",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836342206",
            "telephone_number": "208-917-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TIMOTHY",
        "middle_name": "SCOTT",
        "credential": "M.ED, CRC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-19",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-8651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kailah Paige Watson
• Imelda Joan Weddington, NP
• Jamie Lynn Widman, PA-S
• Kelsey M Willbur
• Bonnie Hoppe Williams, LMT
• Patricia D Willis, LPC
• Emily Wise, M.ED., BIP
• Melissa A. Woods, LCSW
• Kyle Wooten, LAC
• Selah Worley, FNP-C

• Mental Health Counselor in Kuna, ID
• Providers in Kuna, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.