Individual provider Active NPI

Miosha Williams, LMHC

  • Mental Health Counselor
  • Merrillville, IN
National Provider Identifier
1629685011
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39004625A Issued in IN
Practice address
7434 Whitcomb St Apt C
Merrillville, IN 46410-4491
Phone
(219) 381-0105
NPI assigned
Sep 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Mental Health Counselor 101YM0800X 39004625A IN Primary

Addresses

Primary practice location

7434 Whitcomb St Apt C
Merrillville, IN 46410-4491

Mailing address

7434 Whitcomb St Apt C
Merrillville, IN 46410-4491
Phone (219) 381-0105

Other practice location 1

8800 Roswell Rd
Atlanta, GA 30350-1826
Phone (855) 284-7483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231228001461 IN Practitioner - Mental Health Counselor 1658721998 Reassigns benefits to 1 organization
I20240507001895 WA Practitioner - Mental Health Counselor 1658721998 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Mar 26, 2024 Accepting new patients
Thrive Counseling LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

755 W Carmel Dr
Ste 209
Carmel, IN 46032
Phone (702) 372-2446

250 Main St
Ste 420
Lafayette, IN 47901
Phone (219) 885-3441

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1629685011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7434 WHITCOMB ST APT C",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464104491",
            "telephone_number": "219-381-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7434 WHITCOMB ST APT C",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464104491",
            "telephone_number": "219-381-0105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8800 Roswell Rd",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303501826",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MIOSHA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39004625A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.