Leah Alice Williamson, LPCI

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R5933 Issued in OR

Practice address

118 NW Thurston Ave
Bend, OR 97703

Phone

(541) 408-3728

NPI assigned

Feb 13, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1790318145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 NW THURSTON AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97703",
            "telephone_number": "541-408-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 NW THURSTON AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97703",
            "telephone_number": "541-408-3728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "LEAH",
        "middle_name": "ALICE",
        "credential": "LPCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R5933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bend",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "118 NW Thurston Ave",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "97703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Matthew Williams, LMT IASI
• Melissa Marie Williams
• Nancy Ann Williams, R.N.
• Stephanie Williams, MSW,LCSW
• Kristin M Williamson, MS, CCC-SLP
• Daniel Levi Willis, M.D.
• Karen Windolf Willow, LCSW
• Laurie Jane Wilmot, LCSW, CADCIII
• Anna Elizabeth Wilson, M.S., CCC-SLP
• Chelsey C Wilson, LMT

• Mental Health Counselor in Bend, OR
• Providers in Bend, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.