Dale Williams, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0176111 Issued in NM

Practice address

1010 N Virginia Ave
Roswell, NM 88201-5126

Phone

(575) 623-9322

Fax

(575) 627-6339

NPI assigned

Nov 23, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Behavioral Medicine Associates, Inc.

  • Health Service Psychologist
  • Roswell, NM
  • NPI 1750451746
  NPD (past)

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448236800000",
    "number": "1801260260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N VIRGINIA AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015126",
            "telephone_number": "575-623-9322",
            "fax_number": "575-627-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N VIRGINIA AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015126",
            "telephone_number": "575-623-9322",
            "fax_number": "575-627-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DALE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-23",
        "last_updated": "2015-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0176111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Gloria Whitten, NP
• Paul R. Whitwam, MD
• Whole World Health Care, PC
• Roger Willcoxen, RRT, AE-C
• Ayanna Williams, DNP
• Kila Williams, LCSW
• Mandisha Williams
• Teresa Diane Williams, LMSW,,LADAC
• Teri Williams
• Donald Willis, DO

• Mental Health Counselor in Roswell, NM
• Providers in Roswell, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; 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.