Active NPI
Tujuana Mikaalia Williams
- Mental Health Counselor
- Aiken, SC
National Provider Identifier
1861040255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 01679
- Practice address
- 1105 Gregg Hwy NW
Aiken, SC 29801-6341 - Phone
- (803) 649-1900
- Fax
- (803) 643-2925
- NPI assigned
- Aug 28, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | 01679 | GA | Primary |
Addresses
Primary practice location
1105 Gregg Hwy NW
Aiken, SC 29801-6341
Mailing address
1105 Gregg Hwy NW
Aiken, SC 29801-6341
Phone (803) 649-1900
Other practice location 1
82 Camp Long Rd
Aiken, SC 29805-8799
Phone (912) 572-2739
Other practice location 2
2711 Colonial Dr
Columbia, SC 29203-6818
Phone (850) 491-0706
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01679 | GA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1861040255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 GREGG HWY NW",
"city": "AIKEN",
"state": "SC",
"postal_code": "298016341",
"telephone_number": "803-649-1900",
"fax_number": "803-643-2925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 GREGG HWY NW",
"city": "AIKEN",
"state": "SC",
"postal_code": "298016341",
"telephone_number": "803-649-1900",
"fax_number": "803-643-2925"
}
],
"practiceLocations": [
{
"address_1": "82 Camp Long Rd",
"address_purpose": "LOCATION",
"city": "Aiken",
"state": "SC",
"postal_code": "298058799",
"country_code": "US",
"telephone_number": "912-572-2739",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2711 Colonial Dr",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292036818",
"country_code": "US",
"telephone_number": "850-491-0706",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "TUJUANA",
"middle_name": "MIKAALIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-28",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "01679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.