Individual provider Active NPI

J Dawson Williams, D.MIN., LPC, LMFT

  • Mental Health Counselor
  • Jacksonville, AR
National Provider Identifier
1013376722
Registry record updated Sep 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P1604051 Issued in AR
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

Updated by the provider on Sep 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
P1604051ARMDPastoral Counselor
M1604004ARMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Coaching and Counseling, PLLC Mental Health CurrentSince Sep 11, 2022 Accepting new patients
Dawson J Williams PastSince Sep 11, 2022 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.

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.

Verify at the official NPI Registry.