Individual provider Active NPI

Rodney Williams, APS.006110

  • Peer Specialist
  • Coal Grove, OH
National Provider Identifier
1689472375
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
APS.006110 Issued in OH
Practice address
323 Marion Pike Ste 1
Coal Grove, OH 45638-2958
Phone
(740) 237-4981
Fax
(877) 325-2816
NPI assigned
Mar 6, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Case Manager/Care Coordinator 171M00000X
Peer Specialist 175T00000X APS.006110 OH Primary

Addresses

Primary practice location

323 Marion Pike Ste 1
Coal Grove, OH 45638-2958

Mailing address

186 Stanley St
Coal Grove, OH 45638-3148
Phone (740) 237-4981

Other practice location 1

35 Pvt Dr 1122A
Ironton, OH 45638
Phone (740) 237-4981

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
APS.006110OHMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
United Family Recovery, LLC CurrentSince Mar 11, 2025 Accepting new patients
United Family Recovery, LLC Mental Health CurrentSince Mar 11, 2025 Accepting new patients

Locations

323 Marion Pike
Ste 1
Ironton, OH 45638
Phone (740) 237-4981

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": "1741219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1689472375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 STANLEY ST",
            "city": "COAL GROVE",
            "state": "OH",
            "postal_code": "456383148",
            "telephone_number": "740-237-4981",
            "fax_number": "877-325-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 MARION PIKE STE 1",
            "city": "COAL GROVE",
            "state": "OH",
            "postal_code": "456382958",
            "telephone_number": "740-237-4981",
            "fax_number": "877-325-2816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Pvt Dr 1122A",
            "address_purpose": "LOCATION",
            "city": "Ironton",
            "state": "OH",
            "postal_code": "45638",
            "country_code": "US",
            "telephone_number": "740-237-4981",
            "fax_number": "877-325-2816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "RODNEY",
        "credential": "APS.006110",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.006110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coal Grove, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.