Namacray Inner Wellness, L.L.C.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

NAMACRAY INNER WELLNESS, L.L.C.

Practice address

400 W Main St Ste 208
Gaylord, MI 49735-1876

Phone

(989) 370-9157

Fax

(888) 692-8456

NPI assigned

May 12, 2023

Organization subpart

No

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

Authorized official

Name

Alicia Williamson, PMHNP-CNPI 1932819778

Title

Administrator

Phone

(989) 370-9157

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alicia Kay Williamson, MSN, PMHNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Gaylord, MI
  • NPI 1932819778

  MI, Psychiatric/Mental Health, Child & Adolescent

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1831889757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3813 DEER TRL",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497358539",
            "telephone_number": "989-464-0714",
            "fax_number": "989-448-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MAIN ST STE 208",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351876",
            "telephone_number": "989-370-9157",
            "fax_number": "888-692-8456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 W Main St Ste C2",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497351378",
            "country_code": "US",
            "telephone_number": "989-370-9157",
            "fax_number": "989-448-2421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NAMACRAY INNER WELLNESS, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-12",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "989-370-9157",
        "authorized_official_credential": "PMHNP-C"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Munson Home Services
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• Blair A Murphy II, DC
• Kimberly Murphy, MA, LPC, NCC
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• Mark Vincent Nearing, DDS
• Archey Neumann
• Next Step Counseling, PLLC
• Eugene Leo Niedzwiecki, RPH
• Melissa Mary Emerald Noa, FNP

• All providers in Gaylord, MI
• Adult Mental Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.