TEDRA N WILLIAMS
Counselor

Address: 5710 4th St Nw, Washington, DC 20011-2129

TEDRA N WILLIAMS (NPI# 1649592213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649592213
Entity Type Individual
Full Name MS. TEDRA N WILLIAMS
Gender Female
Credential NCC, LPC
Practice Address 5710 4th St Nw
Washington
DC 20011-2129
Practice Telephone 2025605528
Mailing Address 5710 4th St Nw
Washington
DC 20011-2129
Enumeration Date 2010-02-23
Last Update Date 2010-02-23
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
N 101Y00000X Counselor PRC14077 DC Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
PRC14077 DC Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
PRC14077 DC Behavioral Health & Social Service Providers

Office Location

Street Address 5710 4TH ST NW
City WASHINGTON
State DC
Zip Code 20011-2129

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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

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NPI Name Taxonomy Address Enumeration
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1760084164 Keyona M Fowler Counselor 116 T St Ne Apt 437, Washington, DC 20002-5132 2020-11-10
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Competitor

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City WASHINGTON
Zip Code 20011

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.