Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1932781812 Individual Practitioner Male Practitioner

Terry Williams

Peer Specialist • Montclair, NJ

Professional Overview & Biography Verified Profile Summary

Terry Williams is a registered healthcare professional specializing in Peer Specialist in Montclair, NJ. Practice services are available at 104 BLOOMFIELD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

104 Bloomfield Ave

Montclair, NJ 070424723

Telephone 9737836655
Fax 9732331396
Associated Practice Facility / Clinic
🏢 Cope Center, Inc. Facility NPI 1073646352

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Montclair, NJ

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

Practicing in Montclair, NJ (401 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

CMS Verified: 2021-06-08
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License NJ POO559

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.

Peer Specialist

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
6385907 (NJ)
Medicaid State Provider ID
0580198 (NJ)

Secondary Practice Locations

73 S Fullerton Ave

Montclair, NJ 070422618

Phone: 9737836655

Practice Associates & Co-Workers

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

10 Associated Practitioners
Amani Beach

Counselor - Mental Health

NPI 1134834856
Courtney Gulliksen

Counselor - Mental Health

NPI 1184299877
Rose Maire , LCADC, CCS, MAC

Counselor - Addiction (Substance Use Disorder)

NPI 1255900460

Licensed Clinical Alcohol and Drug Counselor, Certified Coding Specialist, MAC

Catherine Scandrick , CADC

Counselor - Addiction (Substance Use Disorder)

NPI 1306411418

Certified Alcohol and Drug Counselor

Leola Singletary

Peer Specialist

NPI 1356947584
Jennifer Pepe-Meyers

Peer Specialist

NPI 1518534577

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2021

Peer Specialist

NPI Profile Active April 21, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location April 21, 2021

Registered at 104 BLOOMFIELD AVE, MONTCLAIR, NJ 070424723 (Tel: 9737836655)

📍
Updated Business Mailing Address April 21, 2021

Registered at 309 E 22ND ST APT 7, PATERSON, NJ 075142247

👤
Provider Name / Credentials Updated April 21, 2021

Recorded as TERRY WILLIAMS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2021

Peer Specialist (License #POO559 in NJ)

🟢
Initial NPI Registration & Enumeration April 21, 2021

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: 1932781812
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 21, 2021
Last Update: June 08, 2021
Sole Proprietor: Yes

Mailing Address

309 E 22nd St Apt 7

Paterson, NJ 075142247

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.