NPIMap

Individual provider Active NPI

Janice Lou Williams, LPC, RPT

  • Professional Counselor
  • Nevada, MO
National Provider Identifier
1679557094
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2000155573 Issued in MO
Practice address
212 North Main,
Nevada, MO 64772
Phone
(417) 667-9608
Fax
(417) 667-9713
NPI assigned
Nov 30, 2005
Last updated
Jul 17, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2000155573 MO Primary

Addresses

Primary practice location

212 North Main,
Nevada, MO 64772

Mailing address

P.O. Box 607
212 North Main,
Nevada, MO 64772
Phone (417) 667-9608

Other identifiers 2

IdentifierTypeStateIssuer
494709405MedicaidMO
1679557094MedicaidMO

Other names 1

  • Miss Janice Lou Daniels Former name

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

LicenseStateTypeSpecialty
2000155573MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Butler-Davidson Counseling Services Professional PastSince Mar 1, 2002 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1679557094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 607",
            "address_2": "212 NORTH MAIN,",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "64772",
            "telephone_number": "417-667-9608",
            "fax_number": "417-667-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 NORTH MAIN,",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "64772",
            "telephone_number": "417-667-9608",
            "fax_number": "417-667-9713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JANICE",
        "middle_name": "LOU",
        "name_prefix": "Mrs.",
        "credential": "LPC, RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2000155573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "494709405",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679557094",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANICE",
            "last_name": "DANIELS",
            "middle_name": "LOU",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nevada, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.