Catrena Vache Williams

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

100 W Ferry St
Berrien Springs, MI 49103-1194

Phone

(269) 473-6055

NPI assigned

Oct 11, 2022

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

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.

• Rise All Lives Matter

  • Developmentally Disabled Services Day Training Agency
  • Berrien Springs, MI
  • NPI 1821590696
  NPD (past)

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1689399628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 DIXIE DR",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490222015",
            "telephone_number": "269-338-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W FERRY ST",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491031194",
            "telephone_number": "269-473-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CATRENA",
        "middle_name": "VACHE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Annette Van Allen
• Emmanuel Victorin
• Dennis Edwin Waite, ED.D.
• Lorren Wiedemann
• Jillian Wiesemes
• Cherie Michelle Wilson, FNP
• Karmen Wimberley
• Chance Woods, ACE PERSONAL TRAINER
• Alicia Anne Worley de Palacios, MS, PT
• Jared Wright

• Mental Health Counselor in Berrien Springs, MI
• Providers in Berrien Springs, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.