Individual provider Active NPI

Daja Renee Williams, LPC

  • Counselor
  • Lafayette, LA
National Provider Identifier
1811485683
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6956 Issued in LA
Practice address
913 S College Rd Ste 105
Lafayette, LA 70503-3061
Phone
(337) 279-4570
NPI assigned
Apr 27, 2018
Last updated
Sep 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6956 LA Primary

Addresses

Primary practice location

913 S College Rd Ste 105
Lafayette, LA 70503-3061

Mailing address

PO Box 95
Breaux Bridge, LA 70517-0095
Phone (337) 516-8555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241204003640 LA Practitioner - Mental Health Counselor 7911433610 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Virginia, Inc. CurrentSince Sep 19, 2024 Accepting new patients
Optum Behavioral Care of Virginia, Inc. CurrentSince Sep 19, 2024 Accepting new patients
The Family Tree Information, Education and Counseling Center PastSince Apr 20, 2021 Accepting new patients

Locations

16851 Jefferson Hwy
Ste 4C
Baton Rouge, LA 70817
Phone (225) 424-1822

400 Poydras St
Ste 1950
New Orleans, LA 70130
Phone (504) 322-3837

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1811485683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705170095",
            "telephone_number": "337-516-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 S COLLEGE RD STE 105",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033061",
            "telephone_number": "337-279-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DAJA",
        "middle_name": "RENEE",
        "name_prefix": "Miss",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-27",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "LA",
            "license": "6956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.