Individual provider Active NPI

Carolyn Williams-Orlando, PHD

  • Mental Health Counselor
  • Boulder, CO
National Provider Identifier
1952941635
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0013718 Issued in CO
Practice address
4667 16TH St
Boulder, CO 80304-2262
Phone
(720) 352-7891
NPI assigned
Jan 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 421 HI
Mental Health Counselor 101YM0800X 0013718 CO Primary

Addresses

Primary practice location

4667 16TH St
Boulder, CO 80304-2262

Mailing address

4667 16TH St
Boulder, CO 80304-2262
Phone (720) 352-7891

Other practice location 1

2460 Oka St
Kilauea, HI 96754-5308
Phone (808) 828-2885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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

Enrollment IDStateProvider typePAC IDDetails
I20240903001976 HI Practitioner - Mental Health Counselor 6002243938 Practice locations: Princeville, HI

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Suite 223456
Princeville, HI 96722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
421HIMDOptometrist
0013718COMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1952941635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4667 16TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803042262",
            "telephone_number": "720-352-7891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4667 16TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803042262",
            "telephone_number": "720-352-7891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2460 Oka St",
            "address_purpose": "LOCATION",
            "city": "Kilauea",
            "state": "HI",
            "postal_code": "967545308",
            "country_code": "US",
            "telephone_number": "808-828-2885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS-ORLANDO",
        "first_name": "CAROLYN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "421",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0013718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.