TERRENCE WILLIAMS (NPI# 1063035145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063035145 |
| Entity Type | Individual |
| Full Name | TERRENCE WILLIAMS |
| Practice Address |
4801 Southwick Dr Ste 300 Matteson IL 60443-2279 |
| Mailing Address |
11422 S Champlain Ave Chicago IL 60628-4763 |
| Practice Telephone | 7087472655 |
| Mailing Telephone | 3122002060 |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2020-05-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952943524 | Terrence Williams | Behavioral Analyst | 13768 Meadow View Lane, Yucaipa, CA 92399 | 2019-10-15 |
| 1407340060 | Terrence Williams | Social Worker | 600 Wayne Ave, Dayton, OH 45410-1122 | 2018-06-18 |
| 1407027600 | Terrence Allen Williams | Hearing Instrument Specialist | 50 Broadway Fl 6, New York, NY 10004-3810 | 2008-03-14 |
| 1447303763 | Terrence Williams | Social Worker | 242 West Shamrock, Pineville, LA 71360-6439 | 2007-01-19 |
| Street Address |
4801 SOUTHWICK DR STE 300 |
| City | MATTESON |
| State | IL |
| Zip Code | 60443-2279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265069603 | Lauren Cobb | Counselor | 4801 Southwick Dr Ste 300, Matteson, IL 60443-2279 | 2020-03-25 |
| 1558962654 | Shequile Jones | Counselor | 4801 Southwick Dr Ste 300, Matteson, IL 60443-2279 | 2020-11-04 |
| 1154938298 | Maria A Figueroa | Social Worker | 4801 Southwick Dr Ste 300, Matteson, IL 60443-2279 | 2020-09-23 |
| 1558977199 | Courtney Alyssa Gogins | Counselor | 4801 Southwick Dr Ste 300, Matteson, IL 60443-2279 | 2020-09-18 |
| 1801401658 | Kristina Zandi | Social Worker | 4801 Southwick Dr Ste 300, Matteson, IL 60443-2279 | 2020-09-09 |
| 1790399012 | Charlene Carter | Social Worker | 4801 Southwick Dr Ste 300, Matteson, IL 60443-2279 | 2020-09-03 |
| 1043847486 | Omari Norman | Counselor | 4801 Southwick Dr Ste 300, Matteson, IL 60443-2279 | 2020-03-25 |
| 1275160673 | Katrina Mixson | Community Health Worker | 4801 Southwick Dr Ste 300, Matteson, IL 60443-2279 | 2020-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821642497 | Natalie Donyelle Mitchell | Psychologist | 6202 Vollmer Rd Colin Powell Middle School, Elementary Sd 159, Matteson, IL 60443 | 2019-07-31 |
| 1881199909 | Christopher Anthony Smith | Student in an Organized Health Care Education/Training Program | 5660 Woodgate Dr, Matteson, IL 60443 | 2018-03-29 |
| 1336695253 | Renato Leano | Physical Therapist | 21020 Kostner Avenue, Matteson, IL 60443 | 2016-08-31 |
| 1669826657 | Heredeshee Latrice Taylor | Nurse Practitioner | 3201 Holden Cir, Matteson, IL 60443 | 2016-04-16 |
| 1366713125 | Rosanne Miller Tadsen | Counselor | 6201 Vollmer Rd, Matteson, IL 60443 | 2012-01-25 |
| 1598063281 | Sheri Temple | Occupational Therapist | 3906 212th Place, Matteson, IL 60443 | 2011-03-04 |
| 1013247576 | Sheila M. Pijus | Counselor | 336 Tullamore Ter., Matteson, IL 60443 | 2010-01-06 |
| 1962731190 | Benita Yvette Norwoord | Counselor | 600 Holiday Plaza, Matteson, IL 60443 | 2009-12-17 |
| 1386881654 | Reliance Home Health Services, Inc. | Home Health | 4350 W. Lincoln Hwy #210, Reliance Home Health Services, Inc., Matteson, IL 60443 | 2009-01-08 |
| 1518139286 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 5640 211th St., Matteson, IL 60443 | 2008-04-02 |
| Find all providers in zip 60443 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760091235 | Elevation Individual and Family Therapy, LLC | Counselor | 2 Willow Rd, Matteson, IL 60443-1096 | 2020-07-30 |
| 1407475148 | Marie A Gandy | Counselor | 21227 S Jeffrey Dr, Matteson, IL 60443-2427 | 2020-04-13 |
| 1265069603 | Lauren Cobb | Counselor | 4801 Southwick Dr Ste 300, Matteson, IL 60443-2279 | 2020-03-25 |
| 1558962654 | Shequile Jones | Counselor | 4801 Southwick Dr Ste 300, Matteson, IL 60443-2279 | 2020-11-04 |
| 1558977199 | Courtney Alyssa Gogins | Counselor | 4801 Southwick Dr Ste 300, Matteson, IL 60443-2279 | 2020-09-18 |
| 1386261360 | Gia V Washington | Counselor | 4331 Lincoln Hwy, Matteson, IL 60443-2404 | 2020-06-25 |
| 1043847486 | Omari Norman | Counselor | 4801 Southwick Dr Ste 300, Matteson, IL 60443-2279 | 2020-03-25 |
| 1710544457 | Andrew Laberge | Counselor | 4331 Lincoln Hwy, Matteson, IL 60443-2404 | 2019-05-28 |
| 1356801856 | Patricia Ann Willis | Counselor | 4747 Lincoln Mall Dr, Matteson, IL 60443-3811 | 2019-03-21 |
| 1467968750 | Tamela S Jasper | Counselor | 21136 Keeler Ave, Matteson, IL 60443-2242 | 2017-12-21 |
| Find all providers in MATTESON | ||||
Please comment or provide details below to improve the information on TERRENCE WILLIAMS.
| 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.