Daniel Patterson Williams, MA, LPC, CADCIII/MAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C4540 Issued in OR

Practice address

51340 Highway 97
La Pine, OR 97739-9871

Phone

(541) 322-7500

Fax

(541) 322-7565

NPI assigned

May 23, 2013

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• All Things New Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mustang, OK
  • NPI 1376275354

  Professional

  NPD Authorized official
• Bright Horizons Psychiatric Group LLC

  • Child & Adolescent Psychiatric/Mental Health Registered Nurse
  • Redmond, OR
  • NPI 1629724695
  NPD (past)

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1710324264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2577 NE COURTNEY DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017638",
            "telephone_number": "541-322-7500",
            "fax_number": "541-322-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51340 HIGHWAY 97",
            "city": "LA PINE",
            "state": "OR",
            "postal_code": "977399871",
            "telephone_number": "541-322-7500",
            "fax_number": "541-322-7565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "880 82nd Dr",
            "address_purpose": "LOCATION",
            "city": "Gladstone",
            "state": "OR",
            "postal_code": "970271803",
            "country_code": "US",
            "telephone_number": "503-659-5515",
            "fax_number": "503-659-1994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DANIEL",
        "middle_name": "PATTERSON",
        "credential": "MA, LPC, CADCIII/MAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C4540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudine M Walker, LCSW, LICSW
• Meghan Waller
• Spencer James Ward
• Steven Ware
• Hallie Rebecca Whinnery, RN
• Jonathan Yang, DDS
• Tyler Austin Zitka, PT, DPT
• Tiffany Zollman

• Professional Counselor in La Pine, OR
• Providers in La Pine, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.