Joanita Glavel Williamson

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

18-07-28 Issued in OR

Practice address

200 SE Hailey Ave Ste 204
Pendleton, OR 97801-3072

Phone

(541) 962-0162

Fax

(541) 663-4142

NPI assigned

Jul 29, 2020

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Oregon Washington Health Network

  • Health Service Clinic/Center
  • Pendleton, OR
  • NPI 1356971493

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1649889288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 I AVE",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978502043",
            "telephone_number": "541-962-0162",
            "fax_number": "541-962-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SE HAILEY AVE STE 204",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013072",
            "telephone_number": "541-962-0162",
            "fax_number": "541-663-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "JOANITA",
        "middle_name": "GLAVEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "18-07-28",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Ginny Wickert
• Eric Wilbur
• Dan E Wilcox Jr., M.A.
• Tania Carola Wildbill, M.S.
• Stephanie M Williams
• Peter Willis, NP
• Willowbrook SNF Healthcare LLC
• Jennifer Lee Wilson, CD
• Julie Ann Wilson
• Kristina Lynn Wilson

• Addiction (Substance Use Disorder) Counselor in Pendleton, OR
• Providers in Pendleton, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.