Individual provider Active NPI

Chad Matthew Martin Williams, BCBA

  • Behavior Analyst
  • Lawrence, KS
National Provider Identifier
1851853352
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
00776 Issued in KS
Practice address
1867 Villo Woods CT
Lawrence, KS 66044-4373
Phone
(913) 777-6845
NPI assigned
Apr 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 2024050227 MO
Behavior Analyst 103K00000X
Behavior Analyst 103K00000X 00776 KS Primary

Addresses

Primary practice location

1867 Villo Woods CT
Lawrence, KS 66044-4373

Mailing address

1867 Villo Woods CT
Lawrence, KS 66044-4373

Other practice location 1

686 N Spring Lake Dr
Independence, MO 64056-1537
Phone (913) 777-6845

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
00776KSMDAddiction (Substance Use Disorder) Counselor
2024050227MOMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Adaptive Behavioral Solutions Behavior Analyst Current Accepting new patients
Adaptive Behavior Solutions Behavior Analyst PastSince Jan 1, 2025 Accepting new patients
Community Living Opportunities, Inc 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1851853352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1867 VILLO WOODS CT",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660444373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 VILLO WOODS CT",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660444373",
            "telephone_number": "913-777-6845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "686 N Spring Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640561537",
            "country_code": "US",
            "telephone_number": "913-777-6845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHAD",
        "middle_name": "MATTHEW MARTIN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-03",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2024050227",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KS",
            "license": "00776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.