Active NPI
Anthony Williams
- Addiction (Substance Use Disorder) Counselor
- Akron, OH
National Provider Identifier
1821566175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CDCA.177980
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA.177980 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| 00693 | OH | MD | Community Health Worker |
| APS.000693 | OH | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Village LLC | Past | 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.
-
- Substance Abuse Rehabilitation Facility
- Rootstown, OH
- NPI 1063909612
-
- Community/Behavioral Health Agency
- Rootstown, OH
- NPI 1316505019
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.