Individual provider Active NPI

Anthony Williams

  • Addiction (Substance Use Disorder) Counselor
  • Akron, OH
National Provider Identifier
1821566175
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDCA.177980 Issued in OH
Practice address
1735 S Hawkins Ave
Akron, OH 44320-3902
Phone
(330) 867-5400
Fax
(330) 869-8263
NPI assigned
Nov 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 00693 OH
Peer Specialist 175T00000X APS.000693 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.177980 OH Primary

Addresses

Primary practice location

1735 S Hawkins Ave
Akron, OH 44320-3902

Mailing address

3975 Kenneth Dr
Rootstown, OH 44272-9252
Phone (330) 850-5141

Other practice location 1

3975 Kenneth Dr
Rootstown, OH 44272-9252
Phone (330) 850-5141

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

State licenses

LicenseStateTypeSpecialty
CDCA.177980OHMDAddiction (Substance Use Disorder) Counselor
00693OHMDCommunity Health Worker
APS.000693OHMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Village LLC PastSince Nov 26, 2018 Accepting new patients
Hope Village LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1821566175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 KENNETH DR",
            "city": "ROOTSTOWN",
            "state": "OH",
            "postal_code": "442729252",
            "telephone_number": "330-850-5141",
            "fax_number": "330-850-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 S HAWKINS AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443203902",
            "telephone_number": "330-867-5400",
            "fax_number": "330-869-8263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3975 Kenneth Dr",
            "address_purpose": "LOCATION",
            "city": "Rootstown",
            "state": "OH",
            "postal_code": "442729252",
            "country_code": "US",
            "telephone_number": "330-850-5141",
            "fax_number": "330-850-5349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-05",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OH",
            "license": "00693",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.000693",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.177980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.