Active NPI
Juanita Williams
- Professional Counselor
- Las Vegas, NV
National Provider Identifier
1700160629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CP0176
- Practice address
- 8933 W Sahara Ave Ste 100
Las Vegas, NV 89117-5932 - Phone
- (702) 355-4376
- NPI assigned
- Oct 11, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 00318-LC | NV | |
| Mental Health Counselor | 101YM0800X | 292672 | ||
| Professional Counselor | 101YP2500X | CP0176 | NV | Primary |
Addresses
Primary practice location
8933 W Sahara Ave Ste 100
Las Vegas, NV 89117-5932
Mailing address
1917 Navarre LN
Henderson, NV 89014-5106
Phone (702) 355-4376
Other names 1
- Anita Williams Ms
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00318-LC | NV | MD | Addiction (Substance Use Disorder) Counselor |
| CP0176 | NV | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Williams Wellspring Counseling, PLLC | Past | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1750750584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684195200000",
"number": "1700160629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1917 NAVARRE LN",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890145106",
"telephone_number": "702-355-4376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8933 W SAHARA AVE STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891175932",
"telephone_number": "702-355-4376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JUANITA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-11",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NV",
"license": "00318-LC",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": "292672",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NV",
"license": "CP0176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANITA",
"last_name": "WILLIAMS MS",
"credential": "LCPC,LCADC,LCADC-S",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.