Individual provider Active NPI

Dara Williams, MA, LPC

  • Professional Counselor
  • Blue Ash, OH
National Provider Identifier
1710315650
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.0900293 Issued in OH
Practice address
11427 Reed Hartman Hwy Ste 105
Blue Ash, OH 45241-2418
Phone
(513) 833-6833
NPI assigned
Oct 30, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH61076977 WA
Mental Health Counselor 101YM0800X 16489 NC
Professional Counselor 101YP2500X C.0900293 OH
Professional Counselor 101YP2500X LPC.0014423 CO
Professional Counselor 101YP2500X LPC010527 GA
Professional Counselor 101YP2500X 180011639 IL
Professional Counselor 101YP2500X 0701008812 VA
Professional Counselor 101YP2500X E.0900293 OH Primary

Addresses

Primary practice location

11427 Reed Hartman Hwy Ste 105
Blue Ash, OH 45241-2418

Mailing address

11427 Reed Hartman Hwy Ste 105
Blue Ash, OH 45241-2418
Phone (513) 833-6833

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
16489NCMDMental Health Counselor
LH61076977WAMDMental Health Counselor
LPC.0014423COMDProfessional Counselor
LPC010527GAMDProfessional Counselor
180011639ILMDProfessional Counselor
C.0900293OHMDProfessional Counselor
E.0900293OHMDProfessional Counselor
0701008812VAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1710315650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11427 REED HARTMAN HWY STE 105",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452412418",
            "telephone_number": "513-833-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11427 REED HARTMAN HWY STE 105",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452412418",
            "telephone_number": "513-833-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DARA",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-30",
        "last_updated": "2021-07-01",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61076977",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "16489",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.0900293",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0014423",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC010527",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180011639",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008812",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0900293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.