Individual provider Active NPI

Maria A Williams, PH.D., LMHC, SUDP

  • Mental Health Counselor
  • Lacey, WA
National Provider Identifier
1710417084
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61066272 Issued in WA
Practice address
5900 Balustrade Blvd SE
Lacey, WA 98513-5075
Phone
(253) 279-2217
NPI assigned
Jun 19, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 60728563 WA
Addiction (Substance Use Disorder) Counselor 101YA0400X CP60925562 WA
Mental Health Counselor 101YM0800X LH61066272 WA Primary

Addresses

Primary practice location

5900 Balustrade Blvd SE
Lacey, WA 98513-5075

Mailing address

5900 Balustrade Blvd SE
Lacey, WA 98513-5075
Phone (253) 279-2217

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
60728563WAMDAddiction (Substance Use Disorder) Counselor
CP60925562WAMDAddiction (Substance Use Disorder) Counselor
LH61066272WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Resources Past Accepting new patients
Behavioral Health Resources Past Accepting new patients
Sea Mar Community Health Centers PastSince Nov 1, 2022 Accepting new patients
Sea Mar Community Health Centers PastSince Feb 2, 2025 Accepting new patients

Organizations & group practices 4

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": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1710417084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BALUSTRADE BLVD SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985135075",
            "telephone_number": "253-279-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BALUSTRADE BLVD SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985135075",
            "telephone_number": "253-279-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH.D., LMHC, SUDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "60728563",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60925562",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61066272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.