Shyra Ayn Williams, LMSW, ACTP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6801085818 Issued in MI

Practice address

13245 Willowvale Dr
Grand Haven, MI 49417-9192

Phone

(616) 990-5613

NPI assigned

Jul 17, 2019

Last updated

Jul 17, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Counseling Center of West Michigan, LLC

  • Mental Health Counselor
  • Grand Rapids, MI
  • NPI 1437610730
  Medicare reassignment NPD
• Virtuwell Therapy, LLC

  • Mental Health Counselor
  • Grand Rapids, MI
  • NPI 1871356212
  NPD (past)

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1902459118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13245 WILLOWVALE DR",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494179192",
            "telephone_number": "616-990-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13245 WILLOWVALE DR",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494179192",
            "telephone_number": "616-990-5613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHYRA",
        "middle_name": "AYN",
        "credential": "LMSW, ACTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801085818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lakeshorecounselingPLLC@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email address for client contact",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email address",
            "address_1": "13245 Willowvale Dr",
            "city": "Grand Haven",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494179192",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lakeshorecounselingPLLC@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email address for clients",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "client contact",
            "address_1": "13245 Willowvale Dr",
            "city": "Grand Haven",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494179192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carol Ann Wilkening, CRNA
• Joel S. Wilkinson, LLMSW
• Emma Williams
• Isabella Milan Williams
• Kyle Williams, MSW
• Sydne Williams, PA-C
• Allen Winebarger, PHD
• Brooke Morgan Winterhalter, LMSW
• Savannah R Wirth, MA
• Karen E Wiseman, MD

• Mental Health Counselor in Grand Haven, MI
• Providers in Grand Haven, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.