MR. ROOSEVELT WILLIAMS JR. (NPI# 1083138895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083138895 |
| Entity Type | Individual |
| Full Name | MR. ROOSEVELT WILLIAMS JR. |
| Practice Address |
1791 Alum Creek Dr Columbus OH 43207-1708 |
| Mailing Address |
261 Chatterly Ln Columbus OH 43207-5351 |
| Practice Telephone | 6144458131 |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386973436 | Roosevelt Williams Jr. | Physical Therapy Assistant | 6444 East Spring St, # 247, Long Beach, CA 90810 | 2009-12-21 |
| 1003323080 | Roosevelt V Williams | Case Manager/Care Coordinator | 3222 W Central Ave, Toledo, OH 43606-2929 | 2017-12-29 |
| Street Address |
1791 ALUM CREEK DR |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43207-1708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245290436 | Maryhaven Inc. | Clinic/Center | 1791 Alum Creek Dr, Columbus, OH 43207-1708 | 2006-03-23 |
| 1073111605 | Melinda Swank | Social Worker | 1791 Alum Creek Dr, Columbus, OH 43207-1708 | 2020-10-15 |
| 1154937225 | Victoria Rose George | Social Worker | 1791 Alum Creek Dr, Columbus, OH 43207-1708 | 2020-09-23 |
| 1023624616 | Annis Spence | Case Manager/Care Coordinator | 1791 Alum Creek Dr, Columbus, OH 43207-1757 | 2020-09-18 |
| 1639781131 | Ann Christine Redman | Social Worker | 1791 Alum Creek Dr, Columbus, OH 43207-1757 | 2020-08-18 |
| 1073121174 | Gram Christian Royal | Counselor | 1791 Alum Creek Dr, Columbus, OH 43207-1757 | 2020-07-15 |
| 1376161893 | Patrick Mensah | Registered Nurse | 1791 Alum Creek Dr, Columbus, OH 43207-1708 | 2020-07-10 |
| 1306463369 | Allison Skinner | Social Worker | 1791 Alum Creek Dr, Columbus, OH 43207-1708 | 2020-06-25 |
| 1659997369 | Caileigh Chadwick | Social Worker | 1791 Alum Creek Dr, Columbus, OH 43207-1708 | 2020-06-18 |
| 1689295313 | Melanie Jayne Barnes | Case Manager/Care Coordinator | 1791 Alum Creek Dr, Columbus, OH 43207-1757 | 2020-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366947913 | Mary Elise Hanks | Internal Medicine | Osumc/nationwide Children's Med-ped Residency Program, 1405 S. High St, Columbus, OH 43207 | 2018-03-27 |
| 1699279323 | Timothy Ming-li Pian | Internal Medicine | Internal Medicine-pediatric Residency Program, 1405 S. High Street, Columbus, OH 43207 | 2018-03-19 |
| 1093245763 | Royce Scott | Home Health | 254 E. Barthman Ave, Columbus, OH 43207 | 2017-06-15 |
| 1497207930 | Vernon C Murphy Jr. | Counselor | 1430 S High St Suite 112, Columbus, OH 43207 | 2016-11-01 |
| 1669825931 | Ayamba Roselyn Tanyi | Social Worker | 1791 Alum Creek Drive, Columbus, OH 43207 | 2016-07-21 |
| 1629421268 | Tiffany Dawn Hinkle | Counselor | 1430 S. High St, Suite 112, Columbus, OH 43207 | 2016-07-19 |
| 1457714933 | Matthew Isaac Lyons | Internal Medicine | 1405 S. High St., Osu/nch Internal Medicine-pediatric Residency Prog., Columbus, OH 43207 | 2016-04-01 |
| 1053712976 | A Plus Children's Academy Community School | Local Education Agency (LEA) | 110 Obetz Rd., Columbus, OH 43207 | 2014-09-10 |
| 1407274301 | William Hamilton Marshall V | Student in an Organized Health Care Education/Training Program | 1405 South High St, South High Primary Care Center, Columbus, OH 43207 | 2014-03-29 |
| 1912249665 | Laura Romcevich | Internal Medicine | 700 Children's Dr. Ed650a, Osu/nch Internal Medicine-pediatric Residency Prog., Columbus, OH 43207 | 2013-03-20 |
| Find all providers in zip 43207 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354864 | Our Voice Matters LLC | Counselor | 1258 Cedar Ave Unit 701, Columbus, GA 31906-2446 | 2020-10-18 |
| 1467050427 | Sonia Buhrer Bowen | Counselor | 475 E Mound St, Columbus, OH 43215-5573 | 2020-10-13 |
| 1710593736 | Lisa Rooker | Counselor | 3197 E Dublin Granville Rd, Columbus, OH 43231-4035 | 2020-09-16 |
| 1679184089 | Amy Danielle Styron | Counselor | 770 Golding Rd, Columbus, MS 39702-7866 | 2020-08-11 |
| 1700495934 | Meghan Craig | Counselor | 3600 Oakstone Drive, Columbus, OH 43231 | 2020-07-23 |
| 1417575416 | Chris Burton | Counselor | 1017 3rd St, Columbus, IN 47201-6870 | 2020-07-07 |
| 1841811270 | Tera Shevon Wise | Counselor | 1390 Dublin Rd, Columbus, OH 43215-1009 | 2020-04-27 |
| 1699303669 | Killian Counseling LLC | Counselor | 2700 E Main St Ste 106, Columbus, OH 43209-2536 | 2020-03-27 |
| 1366076853 | Lukas Planck | Counselor | 2984 Cortona Rd, Columbus, OH 43204-3601 | 2020-02-24 |
| 1558994681 | Gary Willis | Counselor | 3290 Meridian Rd, Columbus, OH 43232-4079 | 2020-02-18 |
| Find all providers in COLUMBUS | ||||
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| 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.