Individual provider Active NPI

Katisha Tarika Williams-Culley

  • School Counselor
  • Clinton, MD
National Provider Identifier
1538798947
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
School CounselorTaxonomy code 101YS0200X
Practice address
9414 Juliette Dr
Clinton, MD 20735-3547
Phone
(347) 987-2641
NPI assigned
Apr 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X MD Primary

Addresses

Primary practice location

9414 Juliette Dr
Clinton, MD 20735-3547

Mailing address

9414 Juliette Dr # de
Clinton, MD 20735-3547
Phone (347) 987-2641

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": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1538798947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9414 JULIETTE DR # DE",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353547",
            "telephone_number": "347-987-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9414 JULIETTE DR",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353547",
            "telephone_number": "347-987-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-CULLEY",
        "first_name": "KATISHA",
        "middle_name": "TARIKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.