Individual provider Active NPI

Chad Williams, CPCI

  • Counselor
  • Richfield, UT
National Provider Identifier
1841310463
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
375837-6009 Issued in UT
Practice address
255 S Main St
Richfield, UT 84701-2699
Phone
(435) 896-8236
Fax
(435) 896-9584
NPI assigned
Mar 29, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 375837-6009 UT Primary

Addresses

Primary practice location

255 S Main St
Richfield, UT 84701-2699

Mailing address

255 W Main St
Mount Pleasant, UT 84647-1331
Phone (435) 462-2416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241203000679 UT Practitioner - Mental Health Counselor 2567997380 Practice locations: Mona, UT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
375837-6009UTMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Counseling PLLC CurrentSince Jan 1, 2023 Accepting new patients
Central Utah Mental Health Substance Abuse Past Accepting new patients
Central Utah Counseling Center Counselor Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841310463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W MAIN ST",
            "city": "MOUNT PLEASANT",
            "state": "UT",
            "postal_code": "846471331",
            "telephone_number": "435-462-2416",
            "fax_number": "435-462-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 S MAIN ST",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847012699",
            "telephone_number": "435-896-8236",
            "fax_number": "435-896-9584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHAD",
        "credential": "CPCI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "UT",
            "license": "375837-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richfield, UT

Sources for this page

Verify at the official NPI Registry.