Marjenia Latonya Williams, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

33 Issued in NC

Practice address

1449 Freeway Dr Ste F
Reidsville, NC 27320-7122

Phone

(651) 558-6940

NPI assigned

Aug 17, 2010

Last updated

Dec 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Margaret Bowen MD PLLC

  • General Practice Physician
  • Reidsville, NC
  • NPI 1265949788
  Medicare reassignment NPD
• Verna Dority, MSW, CCSW, Inc

  dba Carolina Counseling Services

  • Community/Behavioral Health Agency
  • Fayetteville, NC
  • NPI 1396984225
  Medicare reassignment NPD
• Alexander Youth Network

  dba PRTF Hornet's Nest & Lions Den

  • Psychiatric Residential Treatment Facility
  • Charlotte, NC
  • NPI 1073755583
  NPD (past)

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1609181478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1449 FREEWAY DR STE F",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273207122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 FREEWAY DR STE F",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273207122",
            "telephone_number": "651-558-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARJENIA",
        "middle_name": "LATONYA",
        "name_prefix": "Miss",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Robyn Whitehead, LMFTA
• Tiffany S. Wicker, CFM
• Cassandra Widener, PHARM D
• William S Bradford MD PA (William S Bradford MD)
• Anika Keyshawn Williams-Johnson, ST.
• Ronald Lee Wilson Jr.
• Windham Hall, Inc
• Tiffany Antoinette Wise, NP
• Anne Witcher
• Ty Louis Wooden, D.D.S.

• Psychiatric/Mental Health Nurse Practitioner in Reidsville, NC
• Providers in Reidsville, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.