Brandi Williams
Individual provider Active NPI Mental Health Counselor · Muskogee, OK
NPI 1962679803 · NPPES record last updated May 9, 2008
Key facts
- NPI
- 1962679803
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 619 N Main St
Muskogee, OK 74401-4431 - Phone
- (918) 682-8407
- NPI assigned
- May 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
619 N Main St
Muskogee, OK 74401-4431
Mailing address
619 N Main St
Muskogee, OK 74401-4431
NPI Registry JSON
{
"created_epoch": "1210291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210291200000",
"number": "1962679803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 N MAIN ST",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744014431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 N MAIN ST",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744014431",
"telephone_number": "918-682-8407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "BRANDI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-09",
"last_updated": "2008-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muskogee, OK
- Wesley Dale Willbanks
- Williams Medical Group Practice, LLC
- Williams Medical Group Practice, LLC
- Alicia Williams
- Baylee Faye Williams
- Carol Deonna Williams
- Dean A Williams
- Julie Robin Williams
- Kimberly Michelle Williams
- Lisa S Williams
All providers in Muskogee, OK · Mental Health Counselor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.