Mackenzie Williams

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101007230 Issued in MI

Practice address

502 Forest Ave, Unit 1
Plymouth, MI 48170-2640

Phone

(248) 404-8282

NPI assigned

Sep 10, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mackenzie Christine Barber Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• BWC Brighton LLC

  dba Blossom Children's Center-Brighton

  • Speech-Language Pathologist
  • Brighton, MI
  • NPI 1366282980
  NPD

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1548819758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 FOREST AVE, UNIT 1",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702640",
            "telephone_number": "248-404-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 FOREST AVE, UNIT 1",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702640",
            "telephone_number": "248-404-8282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8175 Movie Dr",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MI",
            "postal_code": "481167444",
            "country_code": "US",
            "telephone_number": "248-277-3005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44225 W 12 Mile Rd Ste C-106",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483772640",
            "country_code": "US",
            "telephone_number": "248-277-3005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MACKENZIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2024-08-12",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101007230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MACKENZIE",
            "last_name": "BARBER",
            "middle_name": "CHRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jayla Williams
• Kandace Ranae' Williams
• Karelia Williams
• Katherine Williams
• Katiah Williams
• Maryssa Williams
• Rory Williams
• Shanekia Williams
• Sheryl Williams
• Steven Williams

• Speech-Language Pathologist in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.