JONATHON EDWARD WILLIAMS (NPI# 1104309509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104309509 |
| Entity Type | Individual |
| Full Name | JONATHON EDWARD WILLIAMS |
| Credential | BSW |
| Practice Address |
15941 Fairfield St Detroit MI 48238-4123 |
| Practice Telephone | 3133454310 |
| Practice Fax Number | 3133454315 |
| Mailing Telephone | 3133454310 |
| Mailing Fax Number | 3133454315 |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2018-09-11 |
| 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 |
|---|---|---|---|---|
| 1790302180 | Jonathon Logan Williams | Dentist | 175 Market Ridge Ln, Daleville, VA 24083-3260 | 2020-07-01 |
| 1588203889 | Jonathon Williams | Case Manager/Care Coordinator | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-01-03 |
| 1942652243 | Jonathon Michael Williams | Physician Assistant | 18th Medical Group, Unit 5142, Apo, AP 96368 | 2016-07-11 |
| Street Address |
15941 FAIRFIELD ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48238-4123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144469461 | Lakeridge Village, Inc. | Substance Abuse Rehabilitation Facility | 15941 Fairfield St, Detroit, MI 48238-4123 | 2009-02-10 |
| 1134739501 | Lakeridge Village, Inc | Substance Abuse Rehabilitation Facility | 15941 Fairfield St, Detroit, MI 48238-4123 | 2020-07-31 |
| 1548886732 | Eugenia Holimon | Counselor | 15941 Fairfield St, Detroit, MI 48238-4123 | 2020-06-23 |
| 1790301992 | Gayle Lowe | Counselor | 15941 Fairfield St, Detroit, MI 48238-4123 | 2020-06-23 |
| 1134745995 | Juanita Charleston | Contractor | 15941 Fairfield St, Detroit, MI 48238-4123 | 2020-06-17 |
| 1023574787 | Kenneth Fultz | Peer Specialist | 15941 Fairfield St, Detroit, MI 48238-4123 | 2019-02-18 |
| 1023587359 | Megan E Doyle | Peer Specialist | 15941 Fairfield St, Detroit, MI 48238-4123 | 2018-11-15 |
| 1487130555 | Rodney Johnson | Peer Specialist | 15941 Fairfield St, Detroit, MI 48238-4123 | 2018-07-12 |
| 1255817458 | Gina Smith | Peer Specialist | 15941 Fairfield St, Detroit, MI 48238-4123 | 2018-07-11 |
| 1275047797 | Terrence Edward Jones | Peer Specialist | 15941 Fairfield St, Detroit, MI 48238-4123 | 2017-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700372224 | Cardinal Home Healthcare Group, LLC | Home Health | 3165 Oakman Boulvard, Detroit, MI 48238 | 2018-07-09 |
| 1063963684 | Lydia Adkins | Counselor | 13505 Lasalle St, Apt 305, Detroit, MI 48238 | 2016-10-19 |
| 1750837324 | A Plus Care Transportation LLC | Clinic/Center | 14586 Wisconsin, Detroit, MI 48238 | 2016-09-01 |
| 1518413756 | Valarie Grayer - Felton | Case Manager/Care Coordinator | 15941 Fairfield St., Detroit, MI 48238 | 2016-08-28 |
| 1144773722 | Juanna Cherise Hardaway | Case Manager/Care Coordinator | 1935 Pasadena, Detroit, MI 48238 | 2016-07-29 |
| 1336503556 | Gladys S Chambers | Home Health Aide | 15473 Wisconsin, Detroit, MI 48238 | 2016-04-13 |
| 1891158788 | Karla Gill | Licensed Practical Nurse | 153060 Wildemere, Detroit, MI 48238 | 2016-03-30 |
| 1790145548 | Cecil Cosey IIi | Psychologist | 11000 W Micnichols, Detroit, MI 48238 | 2016-03-07 |
| 1508264102 | Sav-med Pharmacy Inc | Pharmacy | 2645 West Davison, Detroit, MI 48238 | 2014-12-12 |
| 1760887020 | Monument Dental PC | Dentist | 15510 Livernois Avenue, Detroit, MI 48238 | 2014-10-29 |
| Find all providers in zip 48238 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386251841 | Diversified Community Services | Counselor | 10301 W 7 Mile Rd, Detroit, MI 48221-1962 | 2020-09-29 |
| 1750907853 | Ronnie Stephen | Counselor | 15025 Fenkell St, Detroit, MI 48227-2647 | 2020-06-24 |
| 1144860552 | Allen Hugh Warrick IIi | Counselor | 9605 Grand River Ave # A, Detroit, MI 48204-2139 | 2020-01-14 |
| 1396309878 | Darnesha Coy | Counselor | 17870 Dresden St, Detroit, MI 48205-3138 | 2019-04-30 |
| 1518438746 | Curron Thomas | Counselor | 16850 Wyoming St, Apartment 328, Detroit, MI 48221-3415 | 2018-12-16 |
| 1861962094 | Reid Talley | Counselor | 12010 Elmhurst, Detroit, MI 48206 | 2018-11-30 |
| 1205304359 | Life Challenge of Southeastern Michigan | Counselor | 17667 Pierson St, Detroit, MI 48219-2520 | 2018-11-07 |
| 1598233892 | Michigan Employment & Training Plus | Counselor | 6522 Piedmont St, Detroit, MI 48228-4950 | 2018-11-05 |
| 1821588773 | Avery Brown Jr. | Counselor | 8333 Townsend St, Detroit, MI 48213-2331 | 2018-05-16 |
| 1538669304 | Helping Hands Community Centers 1 | Counselor | 2434 Chicago Blvd, Detroit, MI 48206-1741 | 2018-02-17 |
| Find all providers in DETROIT | ||||
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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.