Todd Quinn Williams, MS, LCPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LCPC-7218 Issued in ID

Practice address

12433 W Rutherford CT
Boise, ID 83709-0014

Phone

(208) 908-3599

NPI assigned

Oct 15, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Children'S Home Society of Idaho

  • Mental Health Counselor
  • Boise, ID
  • NPI 1194834010
  NPD (past)

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1831442870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12433 W RUTHERFORD CT",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837090014",
            "telephone_number": "208-908-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12433 W RUTHERFORD CT",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837090014",
            "telephone_number": "208-908-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TODD",
        "middle_name": "QUINN",
        "credential": "MS, LCPC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-15",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC-7218",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-7218",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBOL LICENSE NUMBER",
            "identifier": "LCPC-7218",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronnie Dale Williams, CNA , CMT
• Shauna Williams, M.D.
• Steven W Williams, MD
• Tiffani Tania Williams, LCPC
• Tina Williams, FNP-BC
• Yaa-Serwa Williams, LICSW, LISW-CP
• Stephen W Williamson, PA
• Sydney Rose Williamson
• Tyler Williamson, PHARMD
• Willis Family Chiropractic, LLC

• Professional Counselor in Boise, ID
• Providers in Boise, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.