Active NPI
David Emerson Williams
- Addiction (Substance Use Disorder) Counselor
- Raleigh, NC
National Provider Identifier
1932447711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 3109
- Practice address
- 2101 Garner Rd Ste 103
Raleigh, NC 27610-4687 - Phone
- (919) 832-4457
- Fax
- (919) 829-1357
- NPI assigned
- Jan 29, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 3109-A | NC | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 3109 | NC | Primary |
Addresses
Primary practice location
2101 Garner Rd Ste 103
Raleigh, NC 27610-4687
Mailing address
2101 Garner Rd Ste 103
Raleigh, NC 27610-4687
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 |
|---|---|---|---|
| 3109-A | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 3109 | NC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382486400000",
"number": "1932447711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 GARNER RD STE 103",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276104687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 GARNER RD STE 103",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276104687",
"telephone_number": "919-832-4457",
"fax_number": "919-829-1357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "DAVID",
"middle_name": "EMERSON",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-29",
"last_updated": "2013-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "3109-A",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "3109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.