Individual provider Active NPI

Dazjavia Williams

  • Marriage & Family Therapist
  • Naugatuck, CT
National Provider Identifier
1538708482
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
99 Lantern Park Dr Unit 4
Naugatuck, CT 06770-1840
Phone
(203) 490-9766
NPI assigned
Dec 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

99 Lantern Park Dr Unit 4
Naugatuck, CT 06770-1840

Mailing address

99 Lantern Park Dr Unit 4
Naugatuck, CT 06770-1840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250529001734 CT Practitioner - Marriage and Family Therapist 8325567647 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Mar 17, 2025 Accepting new patients
Eye Explore Your Essence LLC Marriage & Family Therapist CurrentSince Sep 1, 2021 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Mar 17, 2025 Accepting new patients
New Era Rehabilitation Center, Inc PastSince Dec 1, 2019 Accepting new patients
Mindscapes Counseling PLLC Past Accepting new patients
New Era Rehabilitation Center, Inc. PastSince Apr 11, 2021 Accepting new patients

Locations

169 Main St
Fl 3
Middletown, CT 06457
Phone (610) 618-6247

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1577145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1538708482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 LANTERN PARK DR UNIT 4",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067701840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 LANTERN PARK DR UNIT 4",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067701840",
            "telephone_number": "203-490-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DAZJAVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-24",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naugatuck, CT

Sources for this page

Verify at the official NPI Registry.