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Deactivated NPI 1831711613 Deactivated / Inactive NPI Male Practitioner

John Lee Williams , PEER RECOVERY COACH

Peer Specialist • Redford, MI

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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, John Williams has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 14, 2020
NPI Deactivation Date June 16, 2021
Total Practice Duration ~1 Years of Practice (2020 – 2021)

Professional Overview & Biography Verified Profile Summary

John Williams, PEER RECOVERY COACH was a registered Peer Specialist practicing in Redford, MI. Throughout an active medical career spanning 1 years, John Williams provided care at the practice location at 24400 SCHOOLCRAFT until profile deactivation on 2021-06-16.

Practice Location & Contact Primary Location

Practice Address

24400 Schoolcraft

Redford, MI 482392633

Telephone 8103050428

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Redford, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
30 Specialists

Practicing in Redford, MI (1765 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

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

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.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated June 16, 2021

Record deactivated on June 16, 2021

NPI Profile Active May 14, 2020

NPI status registered as active in NPPES database

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Updated Practice Location May 14, 2020

Registered at 24400 SCHOOLCRAFT, REDFORD, MI 482392633 (Tel: 8103050428)

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Updated Business Mailing Address May 14, 2020

Registered at 43825 MICHIGAN AVE. OAKDALE RECOVERY CENTER, CANTON, MI 48188 (Tel: 7343973088)

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Provider Name / Credentials Updated May 14, 2020

Recorded as JOHN WILLIAMS, PEER RECOVERY COACH

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2020

Peer Specialist

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Initial NPI Registration & Enumeration May 14, 2020

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: 1831711613
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 14, 2020
Last Update: May 14, 2020
Deactivation Date: June 16, 2021

Mailing Address

43825 Michigan Ave. Oakdale Recovery Center

Canton, MI 48188

Phone: 7343973088

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.