Active NPI
Monty Michael Williams, AOD COUNSELOR
- Addiction (Substance Use Disorder) Counselor
- Colton, CA
National Provider Identifier
1962848648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- RW7035
- Practice address
- 2275 E Cooley Dr
Colton, CA 92324-6324 - Phone
- (909) 370-1777
- Fax
- (909) 370-1776
- NPI assigned
- May 21, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | RW7035 | CA | Primary |
Addresses
Primary practice location
2275 E Cooley Dr
Colton, CA 92324-6324
Mailing address
6888 Mendocino Dr
Riverside, CA 92503-1037
Phone (951) 642-8392
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 |
|---|---|---|---|
| RW7035 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369094400000",
"number": "1962848648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6888 MENDOCINO DR",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925031037",
"telephone_number": "951-642-8392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2275 E COOLEY DR",
"city": "COLTON",
"state": "CA",
"postal_code": "923246324",
"telephone_number": "909-370-1777",
"fax_number": "909-370-1776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "MONTY",
"middle_name": "MICHAEL",
"credential": "AOD COUNSELOR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-21",
"last_updated": "2013-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "RW7035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.