Individual provider Active NPI

Linda Joyce Williams, MA

  • Counselor
  • Denver, CO
National Provider Identifier
1740405034
Registry record updated Mar 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
3402 Issued in CO
Practice address
3840 N York St
Suite 202
Denver, CO 80205-3536
Phone
(303) 861-2004
Fax
(303) 299-9064
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 3402 CO Primary

Addresses

Primary practice location

3840 N York St
Suite 202
Denver, CO 80205-3536

Mailing address

3840 N York St
Suite 202
Denver, CO 80205-3536
Phone (303) 861-2004

Other identifiers 2

IdentifierTypeStateIssuer
014664MedicaidCO
3402OtherCOSTATE IDENTIFICATION

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
3402COMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457654400000",
    "number": "1740405034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 N YORK ST",
            "address_2": "SUITE 202",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802053536",
            "telephone_number": "303-861-2004",
            "fax_number": "303-292-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 N YORK ST",
            "address_2": "SUITE 202",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802053536",
            "telephone_number": "303-861-2004",
            "fax_number": "303-299-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LINDA",
        "middle_name": "JOYCE",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2016-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "3402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014664",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE IDENTIFICATION",
            "identifier": "3402",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; 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.