Ray Williams Therapy LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

RAY WILLIAMS THERAPY LLC

Practice address

6542 Regency LN Ste 101
Eden Prairie, MN 55344-7847

Phone

(952) 314-9556

NPI assigned

Dec 22, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Raymond Thomas Williams, LMFT

Title

President, Owner

Phone

(952) 314-9556

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1831786045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6542 REGENCY LN STE 101",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447847",
            "telephone_number": "952-314-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6542 REGENCY LN STE 101",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447847",
            "telephone_number": "952-314-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAY WILLIAMS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "952-314-9556",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NUMBER",
            "identifier": "004344241",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1619276052",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://ray-williams.clientsecure.me/",
            "affiliation": "N",
            "endpointDescription": "Client portal",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Client-clinician communication, initial ppwk",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "various freeform structures",
            "address_1": "6542 Regency Ln Ste 101",
            "city": "Eden Prairie",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553447847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.