Active NPI
J Dawson Williams, D.MIN., LPC, LMFT
- Mental Health Counselor
- Jacksonville, AR
National Provider Identifier
1013376722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P1604051
- Practice address
- 112 Fair Oaks Dr
Jacksonville, AR 72076-4280 - Phone
- (501) 837-9723
- Fax
- (877) 775-2230
- NPI assigned
- Feb 23, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | P1604051 | AR | |
| Pastoral Counselor | 101YP1600X | P1604051 | AR | |
| Marriage & Family Therapist | 106H00000X | M1604004 | AR | |
| Mental Health Counselor | 101YM0800X | P1604051 | AR | Primary |
Addresses
Primary practice location
112 Fair Oaks Dr
Jacksonville, AR 72076-4280
Mailing address
PO Box 1084
Jacksonville, AR 72078-1084
Phone (501) 837-9723
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P1604051 | AR | MD | Pastoral Counselor |
| M1604004 | AR | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Williams Coaching and Counseling, PLLC | Mental Health | Current | Accepting new patients |
| Dawson J Williams | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Jacksonville, AR
- NPI 1609459817
Mental Health
-
- Community/Behavioral Health Agency
- North Little Rock, AR
- NPI 1104217611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662768000000",
"number": "1013376722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1084",
"city": "JACKSONVILLE",
"state": "AR",
"postal_code": "720781084",
"telephone_number": "501-837-9723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 FAIR OAKS DR",
"city": "JACKSONVILLE",
"state": "AR",
"postal_code": "720764280",
"telephone_number": "501-837-9723",
"fax_number": "877-775-2230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "J DAWSON",
"credential": "D.MIN., LPC, LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-23",
"last_updated": "2022-09-10",
"certification_date": "2022-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P1604051",
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "AR",
"license": "P1604051",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "AR",
"license": "M1604004",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "P1604051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.