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Deactivated NPI 1063938058 Deactivated / Inactive NPI Male Practitioner

Wade Williams , MA

Counselor • Ruston, LA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Wade Williams has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 21, 2017
NPI Deactivation Date March 09, 2020
Total Practice Duration ~3 Years of Practice (2017 – 2020)

Professional Overview & Biography Verified Profile Summary

Wade Williams, MA was a registered Counselor practicing in Ruston, LA. Throughout an active medical career spanning 3 years, Wade Williams provided care at the practice location at 305 E MISSISSIPPI AVE until profile deactivation on 2020-03-09.

Practice Location & Contact Primary Location

Practice Address

305 E Mississippi Ave

Ruston, LA 712703905

Telephone 3286750804
Associated Practice Facility / Clinic
🏢 Rehab Services Facility NPI 1255882510

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Ruston, LA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.5 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
21 Specialists

Practicing in Ruston, LA (1910 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

26 Associated Practitioners
Pranathi Maramraj

Counselor - Mental Health

NPI 1154873222
NPI 1184443228
Kelise Woods

Case Manager/Care Coordinator

NPI 1235799693
Shaterria Cooks

Social Worker

NPI 1245197078
Elizabeth Freeman , LPC

Counselor - Professional

NPI 1265036065

Licensed Professional Counselor

Crystal Bryant

Case Manager/Care Coordinator

NPI 1285468744

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
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NPI Profile Deactivated March 09, 2020

Record deactivated on March 09, 2020

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Updated Practice Location August 07, 2018

Registered at 305 E MISSISSIPPI AVE, RUSTON, LA 71270 (Tel: 3286750804)

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2018

Case Manager/Care Coordinator

NPI Profile Active August 21, 2017

NPI status registered as active in NPPES database

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Updated Practice Location August 21, 2017

Registered at 305 E MISSISSIPPI AVE, RUSTON, LA 712703905 (Tel: 3286750804)

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Updated Business Mailing Address August 21, 2017

Registered at 2525 YOUREE DR STE 110, SHREVEPORT, LA 711043600 (Tel: 3187423408)

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Provider Name / Credentials Updated August 21, 2017

Recorded as WADE WILLIAMS, MA

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2017

Counselor

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Initial NPI Registration & Enumeration August 21, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063938058
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2017
Last Update: August 21, 2017
Deactivation Date: March 09, 2020

Mailing Address

2525 Youree Dr Ste 110

Shreveport, LA 711043600

Phone: 3187423408

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.