Active NPI
Carol Ann Williams, LMFT
- Marriage & Family Therapist
- Burbank, CA
National Provider Identifier
1982016077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT109784
- Practice address
- 4444 W Riverside Drive
Suite 105
Burbank, CA 91505 - Phone
- (818) 583-7105
- NPI assigned
- May 23, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2425 | CA | |
| Marriage & Family Therapist | 106H00000X | LMFT109784 | CA | Primary |
Addresses
Primary practice location
4444 W Riverside Drive
Suite 105
Burbank, CA 91505
Mailing address
4444 W Riverside Drive
Suite 105
Burbank, CA 91505
Phone (818) 583-7105
Other practice location 1
540 S Eremland Dr
Covina, CA 91723-3186
Phone (626) 966-1577
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 |
|---|---|---|---|
| LMFT109784 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553817600000",
"number": "1982016077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4444 W RIVERSIDE DRIVE",
"address_2": "SUITE 105",
"city": "BURBANK",
"state": "CA",
"postal_code": "91505",
"telephone_number": "818-583-7105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4444 W RIVERSIDE DRIVE",
"address_2": "SUITE 105",
"city": "BURBANK",
"state": "CA",
"postal_code": "91505",
"telephone_number": "818-583-7105"
}
],
"practiceLocations": [
{
"address_1": "540 S Eremland Dr",
"address_purpose": "LOCATION",
"city": "Covina",
"state": "CA",
"postal_code": "917233186",
"country_code": "US",
"telephone_number": "626-966-1577",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CAROL",
"middle_name": "ANN",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-23",
"last_updated": "2019-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "2425",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT109784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.