Mary Williams – Counselor in Marksville, LA

Key facts

NPI: 1508224924
Entity type: Individual (NPI type 1)
Primary specialty: Counselor 101Y00000X
Practice address: 221 N Monroe St
Suite 2
Marksville, LA 71351-2311
Phone: (318) 240-7278
Fax: (318) 240-7293
NPI assigned: Jan 30, 2016
Sex: Female
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Counselor	101Y00000X			Yes

Addresses

Primary practice location

221 N Monroe St
Suite 2
Marksville, LA 71351-2311

Mailing address

221 N Monroe St
Suite 2
Marksville, LA 71351-2311
Phone (318) 240-7278

Other names

Mrs. Mary Williams Broom Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 30, 2016.

{
    "created_epoch": "1454112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454112000000",
    "number": "1508224924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 N MONROE ST",
            "address_2": "SUITE 2",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713512311",
            "telephone_number": "318-240-7278",
            "fax_number": "318-240-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N MONROE ST",
            "address_2": "SUITE 2",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713512311",
            "telephone_number": "318-240-7278",
            "fax_number": "318-240-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-30",
        "last_updated": "2016-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BROOM",
            "middle_name": "WILLIAMS",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marksville, LA

All providers in Marksville, LA · Counselor in Louisiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2016. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.