JASON WILLIAMS


Address: 20303 Kelly Rd, Detroit, MI 48225-1206
Phone: 3132457000

JASON WILLIAMS (NPI# 1710525241) 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) 1710525241
Entity Type Individual
Full Name JASON WILLIAMS
Credential N/A
Practice Address 20303 Kelly Rd
Detroit
MI 48225-1206
Mailing Address 2900 Conner St
Detroit
MI 48215-2407
Practice Telephone 3132457000
Mailing Telephone 3133081400
Enumeration Date 2019-12-16
Last Update Date 2019-12-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Other Providers JASON WILLIAMS

NPI Name Taxonomy Address Enumeration
1376054247 Jason Christopher Williams Physical Therapist 644 Southridge Ct, Westfield, IN 46074-9533 2017-10-19
1881142149 Jason Williams Dentist 10009 Broadway St Ste 107, Pearland, TX 77584-9757 2016-09-15
1609225762 Jason Douglas Williams Anesthesiology 1609225762, Salt Lake City, UT 84132-0002 2016-06-09
1275915712 Jason Patrick Williams Specialist/Technologist 11225 Morton Taylor Rd, Belleville, MI 48111-1330 2015-06-21
1558765123 Jason Williams Chiropractor 1517 Old Apex Rd, Suite 118, Cary, NC 27513-5364 2014-10-10
1902206790 Jason Williams Spec/Tech, Cardiovascular 3625 Fci Road, Marianna, FL 32446 2014-08-28
1093137580 Jason Williams Audiologist-Hearing Aid Fitter 522 Us Highway 79 S Ste B, Henderson, TX 75654-3641 2014-01-17
1629407739 Jason Williams Pharmacist 195 3rd Ave En, Kalispell, MT 59901 2013-11-08
1841548088 Jason Bryan Williams Chiropractor Rr1 Box 10556, The Village Mall Bay12, Christiansted, VI 00850-9604 2012-08-20
1598029209 Jason Tyler Williams Student in an Organized Health Care Education/Training Program 5 Walden Ridge Drive, Asheville, NC 28803 2012-06-27

Office Location

Street Address 20303 KELLY RD
City DETROIT
State MI
Zip Code 48225-1206

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225296130 Kathryn Anne Clampitt-voiles Social Worker 20303 Kelly Rd, Detroit, MI 48225-1206 2008-05-28
1699391912 Juliet Hope Gustafson Social Worker 20303 Kelly Rd, Detroit, MI 48225-1206 2020-06-23
1760006910 Hailie Hogan-wilson Student in an Organized Health Care Education/Training Program 20303 Kelly Rd, Detroit, MI 48225-1206 2020-06-03
1679104301 Stacy Jean-baptiste Social Worker 20303 Kelly Rd, Detroit, MI 48225-1206 2020-01-31
1194377507 Dorothy Jean Yarrington Social Worker 20303 Kelly Rd, Detroit, MI 48225-1206 2019-07-15
1588137376 Detroit Community Health Connection, Inc Clinic/Center 20303 Kelly Rd, Detroit, MI 48225-1206 2019-01-04
1821598160 Arielle Rochell Wilson Social Worker 20303 Kelly Rd, Detroit, MI 48225-1206 2018-02-13
1780182436 Lakeidra Bronner Social Worker 20303 Kelly Rd, Detroit, MI 48225-1206 2018-01-29
1366976722 Delisa Glaspie Community/Behavioral Health 20303 Kelly Rd, Detroit, MI 48225-1206 2017-04-12
1972041622 Savannah Rose Moffat Social Worker 20303 Kelly Rd, Detroit, MI 48225-1206 2017-02-02
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639660046 Ingrid Lewis Registered Nurse 20831 Ridgemont Rd, Harper Woods, MI 48225 2018-05-21
1699264598 Jeffrey Brooks Licensed Practical Nurse 20415 Balfour St, Apt 4, Harper Woods, MI 48225 2018-05-07
1518373430 Meah Khrysteana Tweh Technician, Other 20995 Bournemouth, Harper Woods, MI 48225 2014-07-11
1376878256 Thomas Thurman Social Worker 20303 Kelly Rd., Detroit, MI 48225 2009-10-09
1376799320 Ronald Brian Cornish Massage Therapist 20010 Kelly Rd, Harperwoods, MI 48225 2008-08-11
1811167562 Family First Home Care LLC Home Health 19959 Vernier, Suite 1a, Harper Woods, MI 48225 2008-03-10
1922185982 Odette Roye Haouilou Dentist 18000 Vernier, Harper Woods, MI 48225 2006-11-01
1831286236 Gerald Joseph Fedon Dentist 20840 Vernier Rd, Harper Woods, MI 48225 2006-10-06
1790213759 Horacio Enrique Falcon Dentist 20690 Vernier Rd, Harper Woods, MI 48225 2017-06-02
1609058585 Patricia Ann Peet Durable Medical Equipment & Medical Supplies 19566 Kelly Rd, Harper Woods, MI 48225 2007-12-03
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Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992355135 James Calloway Peer Specialist 1211 E Mcnichols, Detroit, MI 48203 2019-09-19
1790331536 Bridgett Darcell Scott Peer Specialist 1121 E 6 Mile Rd, Detroit, MI 48203-2857 2019-08-16
1932669827 Donald Brown Peer Specialist 18582 Goddard St, Detroit, MI 48234-1319 2019-03-25
1710463880 Felicia Greene Peer Specialist 3542 Fairview St, Detroit, MI 48214-3539 2018-07-12
1033603998 Tonya Patrice Miller-cherry Peer Specialist 1423 Field St # 5, Detroit, MI 48214-2321 2018-06-14
1831612662 Heidi L Brinkley Peer Specialist 5575 Conner St Ste 204b, Detroit, MI 48213-6401 2017-07-24
1588067383 Katrina Baldwin Peer Specialist 11668 Montrose St, Detroit, MI 48227-1758 2014-10-07
1700498771 Darryl Angelo Walker Peer Specialist 1145 W Grand Blvd, Detroit, MI 48208-2336 2020-08-20
1487266441 Jeremiah Spears Jr. Peer Specialist 1121 E Mcnichols Rd, Detroit, MI 48203-2857 2020-08-20
1740892603 Sheena Talanya Dalton Peer Specialist 1121 E Mcnichols Rd, Detroit, MI 48203-2857 2020-08-20
Find all providers in DETROIT

Competitor

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City DETROIT
Zip Code 48225

Improve Information

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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.

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