Individual provider Active NPI

Michelle Lee Williams, LMFT

  • Marriage & Family Therapist
  • Camarillo, CA
National Provider Identifier
1881181949
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
95041 Issued in CA
Practice address
360 Mobil Ave Ste 218B
Camarillo, CA 93010-6374
Phone
(805) 990-9533
NPI assigned
Apr 15, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 95041 CA Primary

Addresses

Primary practice location

360 Mobil Ave Ste 218B
Camarillo, CA 93010-6374

Mailing address

2386 Collier CT
Simi Valley, CA 93065-2449
Phone (808) 358-9720

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
95041CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle Williams, LMFT Marriage & Family Therapist CurrentSince Jul 5, 2020 Accepting new patients
Michelle Williams Marriage & Family Therapy, Inc Marriage & Family Therapist CurrentSince May 9, 2021 Accepting new patients

Locations

360 Mobil Ave
Ste 218B
Camarillo, CA 93010
Phone (805) 990-9533

155 Granada St
Ste O
Camarillo, CA 93010
Phone (805) 612-3175

Organizations & group practices 2

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": "1523750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1881181949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2386 COLLIER CT",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652449",
            "telephone_number": "808-358-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 MOBIL AVE STE 218B",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106374",
            "telephone_number": "805-990-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-15",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "95041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; 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.