Active NPI
Benjamin Williams
- Addiction (Substance Use Disorder) Counselor
- Ferriday, LA
National Provider Identifier
1477252211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 109 Doty Road
Ferriday, la, 71334
Ferriday, LA 71334-7133 - Phone
- (318) 437-7040
- NPI assigned
- Mar 1, 2023
- 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 | LA | Primary |
Addresses
Primary practice location
109 Doty Road
Ferriday, la, 71334
Ferriday, LA 71334-7133
Mailing address
394 Freeman Road
Vidalia, LA 71373
Phone (318) 719-1741
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005514607 | Medicaid | LA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677628800000",
"number": "1477252211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "394 FREEMAN ROAD",
"city": "VIDALIA",
"state": "LA",
"postal_code": "71373",
"telephone_number": "318-719-1741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 DOTY ROAD",
"address_2": "FERRIDAY, LA, 71334",
"city": "FERRIDAY",
"state": "LA",
"postal_code": "713347133",
"telephone_number": "318-437-7040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "BENJAMIN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-01",
"last_updated": "2023-03-01",
"certification_date": "2023-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005514607",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ferriday, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.