Individual provider Active NPI

Sakinah Williams

  • Professional Counselor
  • Ashburn, VA
National Provider Identifier
1750906129
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701011331 Issued in VA
Practice address
22503 Orchard Grass Ter Apt 110
Ashburn, VA 20148-3187
Phone
(757) 478-0027
NPI assigned
Jun 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0704013050 VA
Professional Counselor 101YP2500X 0701011331 VA Primary

Addresses

Primary practice location

22503 Orchard Grass Ter Apt 110
Ashburn, VA 20148-3187

Mailing address

22503 Orchard Grass Ter Apt 110
Ashburn, VA 20148-3187
Phone (757) 478-0027

Other practice location 1

247 McLaws Cir
Williamsburg, VA 23185-5660
Phone (757) 253-0111 ext. 207

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

LicenseStateTypeSpecialty
0704013050VAMDCounselor
0701011331VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Made for Healing Current Accepting new patients
Bacon Street Youth and Family Services PastSince Jun 1, 2020 Accepting new patients

Organizations & group practices 2

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": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1750906129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22503 ORCHARD GRASS TER APT 110",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201483187",
            "telephone_number": "757-478-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22503 ORCHARD GRASS TER APT 110",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201483187",
            "telephone_number": "757-478-0027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "247 McLaws Cir",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231855660",
            "country_code": "US",
            "telephone_number": "757-253-0111 x207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SAKINAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0704013050",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701011331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.