Jeffrey Wayne Williams, LCDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

5392 Issued in TX

Practice address

4405 Spring Cypress Rd
Suite 111
Spring, TX 77388-4400

Phone

(281) 353-8333

Fax

(281) 353-8367

NPI assigned

Apr 9, 2007

Last updated

Jan 23, 2008By the provider in NPPES

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

Other identifiers 3

Other names 1

• Jeffrey Wayne Williams Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Houston Northwest Rehab, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Spring, TX
  • NPI 1942239140
  NPD (past) Authorized official

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1548383904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12205",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773912205",
            "telephone_number": "281-353-8333",
            "fax_number": "281-353-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 SPRING CYPRESS RD",
            "address_2": "SUITE 111",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773884400",
            "telephone_number": "281-353-8333",
            "fax_number": "281-353-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JEFFREY",
        "middle_name": "WAYNE",
        "credential": "LCDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "5392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GRP",
            "identifier": "0086JB",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL",
            "identifier": "8513BH",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTION",
            "identifier": "462564",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEFFREY",
            "last_name": "WILLIAMS",
            "middle_name": "WAYNE",
            "credential": "LCDC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Daniel W Williams Jr., DDS
• Deidra D Williams, FNP
• Delaney Williams, OTD
• Dyamond Williams
• Edward Edward Williams, HEALTH EDUCATOR
• Jessie Williams
• Katrina Williams
• Kendal Williams
• Kerry Williams
• Kimberly Williams, RPH

• Addiction (Substance Use Disorder) Counselor in Spring, TX
• Providers in Spring, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.