Daryl Andre Williams, TCADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

243223 Issued in KY

Practice address

1220 Greenup Ave
Ashland, KY 41101-7525

Phone

(606) 393-1165

Fax

(606) 393-1775

NPI assigned

Feb 20, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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.

• Crossroads Treatment Center of Ashland, PSC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Ashland, KY
  • NPI 1346745718
  NPD (past)

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1528524097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 GREENUP AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017525",
            "telephone_number": "606-393-1165",
            "fax_number": "606-393-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 GREENUP AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017525",
            "telephone_number": "606-393-1165",
            "fax_number": "606-393-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DARYL",
        "middle_name": "ANDRE",
        "credential": "TCADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "243223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William J Vanbeneden DO PLLC
• Brittany Nicole Williams, APRN
• Claudia Williams
• Cody Williams
• Cody A Williams, DO
• Donella Elaine Williams, LCSW
• Jamaka Williams
• James Michael Williams, DC
• Jennifer Williams, LPCC
• Katherine Elizabeth Williams, APRN

• Addiction (Substance Use Disorder) Counselor in Ashland, KY
• Providers in Ashland, KY by specialty
• Addiction (Substance Use Disorder) Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.