Individual provider Active NPI

Michael Leroy Williams II, CPRS

  • Peer Specialist
  • Bridgeton, NJ
National Provider Identifier
1841864808
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
2000324 Issued in NJ
Practice address
70 W Broad St
Bridgeton, NJ 08302-2421
Phone
(856) 451-3727
Fax
(856) 455-9706
NPI assigned
May 14, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 2000324 NJ Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37CA00175600 NJ
Case Management Agency 251B00000X 37CA00175600 NJ

Addresses

Primary practice location

70 W Broad St
Bridgeton, NJ 08302-2421

Mailing address

1239 Rosalie LN
Vineland, NJ 08360-6375
Phone (856) 451-3727

Other practice location 1

297 E Commerce St
Bridgeton, NJ 08302-2627
Phone (856) 466-7526

Other identifiers 1

IdentifierTypeStateIssuer
0351164MedicaidNJ

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

LicenseStateTypeSpecialty
37CA00175600NJMDAddiction (Substance Use Disorder) Counselor
2000324NJMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Minor Adjustments Group, Inc Peer Specialist CurrentSince Jul 13, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1841864808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 ROSALIE LN",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606375",
            "telephone_number": "856-451-3727",
            "fax_number": "856-455-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 W BROAD ST",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083022421",
            "telephone_number": "856-451-3727",
            "fax_number": "856-455-9706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "297 E Commerce St",
            "address_purpose": "LOCATION",
            "city": "Bridgeton",
            "state": "NJ",
            "postal_code": "083022627",
            "country_code": "US",
            "telephone_number": "856-466-7526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MICHAEL",
        "middle_name": "LEROY",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "CPRS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-14",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NJ",
            "license": "2000324",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37CA00175600",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NJ",
            "license": "37CA00175600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0351164",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.