Active NPI
Leola M. Williams, MS
- Addiction (Substance Use Disorder) Counselor
- Milwaukee, WI
National Provider Identifier
1609035195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 10883-132
- Practice address
- 3565 N Martin Luther King Dr
Milwaukee, WI 53212-1459 - Phone
- (414) 444-8445
- Fax
- (414) 444-8432
- NPI assigned
- Jun 9, 2008
- Last updated
- Aug 21, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 10883-132 | WI | Primary |
Addresses
Primary practice location
3565 N Martin Luther King Dr
Milwaukee, WI 53212-1459
Mailing address
3565 N Martin Luther King Dr
Milwaukee, WI 53212-1459
Phone (414) 444-8445
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39175700 | Medicaid | WI |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10883-132 | WI | MD | Addiction (Substance Use Disorder) Counselor |
Organizations & group practices 3
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.
-
- Home Health Agency
- Milwaukee, WI
- NPI 1689112302
-
- Community/Behavioral Health Agency
- Milwaukee, WI
- NPI 1710288733
-
- Addiction (Substance Use Disorder) Counselor
- Milwaukee, WI
- NPI 1811259690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345507200000",
"number": "1609035195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3565 N MARTIN LUTHER KING DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532121459",
"telephone_number": "414-444-8445",
"fax_number": "414-444-8432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3565 N MARTIN LUTHER KING DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532121459",
"telephone_number": "414-444-8445",
"fax_number": "414-444-8432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "LEOLA",
"middle_name": "M.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-09",
"last_updated": "2012-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "10883-132",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39175700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.