NPIMap

Organization Active NPI

Williams Outreach & Consulting Inc

  • Prevention Professional
  • Jacksonville, NC
National Provider Identifier
1679084586
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prevention ProfessionalTaxonomy code 405300000X
Legal business name
WILLIAMS OUTREACH & CONSULTING INC
Practice address
99 Village Dr Ste 5
Jacksonville, NC 28546-7060
Phone
(910) 353-3119
NPI assigned
Oct 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

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

Authorized official

Name
Tameka Tallie, MA, MSW, LCSWA
Title
Director of Operations
Phone
(910) 353-3119

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Prevention ProfessionalGroup: 193200000X MULTI-SPECIALTY GROUP 405300000X Primary

Addresses

Primary practice location

99 Village Dr Ste 5
Jacksonville, NC 28546-7060

Mailing address

99 Village Dr Ste 5
Jacksonville, NC 28546-7060
Phone (910) 353-3119

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508284800000",
    "number": "1679084586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 VILLAGE DR STE 5",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467060",
            "telephone_number": "910-353-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 VILLAGE DR STE 5",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467060",
            "telephone_number": "910-353-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS OUTREACH & CONSULTING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-18",
        "last_updated": "2017-10-18",
        "status": "A",
        "authorized_official_last_name": "TALLIE",
        "authorized_official_first_name": "TAMEKA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "910-353-3119",
        "authorized_official_credential": "MA, MSW, LCSWA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.