Patti A Williamson, MSW QMHP

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

408 E Vine St
Vienna, IL 62995-1612

Phone

(618) 658-2611

Fax

(615) 658-2501

NPI assigned

Oct 31, 2007

Last updated

Oct 31, 2007By the provider in NPPES

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

Other names 1

• Patti Ann Teeling-Sheppard Former name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Counseling Center

  • Community/Behavioral Health Agency
  • Vienna, IL
  • NPI 1356726707
  NPD (past)

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1699954206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 E VINE ST",
            "city": "VIENNA",
            "state": "IL",
            "postal_code": "629951612",
            "telephone_number": "618-658-2611",
            "fax_number": "615-658-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 E VINE ST",
            "city": "VIENNA",
            "state": "IL",
            "postal_code": "629951612",
            "telephone_number": "618-658-2611",
            "fax_number": "615-658-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "PATTI",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MSW QMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATTI",
            "last_name": "TEELING-SHEPPARD",
            "middle_name": "ANN",
            "credential": "QMHP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachael Visser, BA MHP
• Riley Warren, BA, MHP
• Jamie L Weinberg, MS QMHP
• Janet Lea Weston, RN, BS, MHP
• Robin A Wetherell, D.M.D.
• Rebecca Winterrowd
• Dylan Winters, BA MHP
• Jodi Witthaus, MSW QMHP
• Rechelle Worthan, BSW MHP

• Counselor in Vienna, IL
• Providers in Vienna, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.