Active NPI
Camille Williams
- Professional Counselor
- Algonquin, IL
National Provider Identifier
1619337060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.009923
- Practice address
- 214 N Main St
Algonquin, IL 60102-2449 - Phone
- (847) 854-4333
- NPI assigned
- Feb 27, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180.009923 | IL | Primary |
Addresses
Primary practice location
214 N Main St
Algonquin, IL 60102-2449
Mailing address
6685 Double Eagle Dr
Apt 212
Woodridge, IL 60517-5419
Phone (224) 715-4953
Other names 1
- Camille Malecha
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.009923 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456531200000",
"number": "1619337060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6685 DOUBLE EAGLE DR",
"address_2": "APT 212",
"city": "WOODRIDGE",
"state": "IL",
"postal_code": "605175419",
"telephone_number": "224-715-4953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 N MAIN ST",
"city": "ALGONQUIN",
"state": "IL",
"postal_code": "601022449",
"telephone_number": "847-854-4333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CAMILLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-27",
"last_updated": "2016-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.009923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAMILLE",
"last_name": "MALECHA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Algonquin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.