Active NPI
Stephaney Ottey-Williams, LMHC
- Mental Health Counselor
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH20084
- Practice address
- 22790 SW 112TH Ave
Miami, FL 33170-7602 - Phone
- (305) 235-2616
- Fax
- (305) 235-6178
- NPI assigned
- Oct 23, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH20084 | FL | Primary |
Addresses
Primary practice location
22790 SW 112TH Ave
Miami, FL 33170-7602
Mailing address
22790 SW 112TH Ave
Miami, FL 33170-7602
Phone (305) 235-2616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH20084 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellqor Psychological Services, PC | Current | Accepting new patients | |
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
Locations
433 Plaza Real
Ste 275
Boca Raton, FL 33432
Phone (561) 262-0084
4455 Merrimac Ave
Jacksonville, FL 32210
Phone (904) 389-5959
4870 Belfort Rd
Jacksonville, FL 32256
Phone (904) 322-0774
4250 Lakeland Highlands Rd
Lakeland, FL 33813
Phone (863) 224-3553
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
5501 E Michigan St
Orlando, FL 32822
Phone (407) 277-7225
5433 W State Road 46
Sanford, FL 32771
Phone (407) 322-2207
4902 Bayshore Blvd
Tampa, FL 33611
Phone (813) 416-9814
135 Pinelawn Rd
Ste 204N
Melville, NY 11747
Phone (631) 328-2440
10306 Eaton Pl
Ste 300
Fairfax, VA 22030
Phone (703) 282-8428
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.
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643760000000",
"number": "1811408487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22790 SW 112TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331707602",
"telephone_number": "305-235-2616",
"fax_number": "305-235-6178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22790 SW 112TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331707602",
"telephone_number": "305-235-2616",
"fax_number": "305-235-6178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTTEY-WILLIAMS",
"first_name": "STEPHANEY",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-23",
"last_updated": "2022-02-02",
"certification_date": "2022-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH20084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.