Antionette Williams

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

MPSS-WACZHG Issued in CA

Practice address

41689 Enterprise Cir N Ste 120
Temecula, CA 92590-5630

Phone

(951) 526-4644

Fax

(951) 587-4297

NPI assigned

Apr 10, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Koinonia Foster Homes, Inc.

  • Community/Behavioral Health Agency
  • Temecula, CA
  • NPI 1467995738
  NPD (past)

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1487040986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30584 TRUMPET VINE LN",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925631108",
            "telephone_number": "951-526-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41689 ENTERPRISE CIR N STE 120",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905630",
            "telephone_number": "951-526-4644",
            "fax_number": "951-587-4297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ANTIONETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-10",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-WACZHG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianca Willette
• William M Kelly MD, Inc
• William M. Kelly M.D., Inc.
• William S. Hardee Jr. D.M.D., Inc. Friendly Dental Center
• Alanis Williams-Johnson, DPT
• Arianna Williams
• Barbara Williams, MD
• Courtney Williams, BCBA
• Darnell Williams
• Elisa Williams

• Peer Specialist in Temecula, CA
• Providers in Temecula, CA by specialty
• Peer Specialist in California

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