Active NPI
Cassandra La'Veda Williams, D.MIN.
- Behavior Technician
- Ewa Beach, HI
National Provider Identifier
1801452925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 91 3598 Nana Hope St
1230
Ewa Beach, HI 96706 - Phone
- (843) 834-0133
- NPI assigned
- May 14, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | HI | ||
| Professional Counselor | 101YP2500X | SC | ||
| Behavior Technician | 106S00000X | HI | Primary |
Addresses
Primary practice location
91 3598 Nana Hope St
1230
Ewa Beach, HI 96706
Mailing address
91 3598 Nana Hope St
1230
Ewa Beach, HI 96706
Phone (843) 834-0133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83-2255395 | Medicaid | SC |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Calvary Experience | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Adolescent and Children Mental Health Clinic/Center
- N Charleston, SC
- NPI 1982265823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769385600000",
"number": "1801452925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 3598 NANA HOPE ST",
"address_2": "1230",
"city": "EWA BEACH",
"state": "HI",
"postal_code": "96706",
"telephone_number": "843-834-0133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 3598 NANA HOPE ST",
"address_2": "1230",
"city": "EWA BEACH",
"state": "HI",
"postal_code": "96706",
"telephone_number": "843-834-0133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CASSANDRA",
"middle_name": "LA'VEDA",
"name_prefix": "Dr.",
"credential": "D.MIN.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-14",
"last_updated": "2026-01-26",
"certification_date": "2026-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "HI",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "HI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "83-2255395",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ewa Beach, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.