Individual provider Active NPI

Jasmine Williams, LPCC-S

  • Mental Health Counselor
  • Cincinnati, OH
National Provider Identifier
1063894491
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.2303439 Issued in OH
Practice address
909 Sycamore St
Cincinnati, OH 45202-1305
Phone
(513) 558-9006
NPI assigned
Jun 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C.1901933 OH
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X E.2303439 OH Primary
Mental Health Counselor 101YM0800X C.1901933 OH

Addresses

Primary practice location

909 Sycamore St
Cincinnati, OH 45202-1305

Mailing address

311 Albert Sabin Way
Cincinnati, OH 45229-2838
Phone (513) 558-9006

Other practice location 1

970 Trellises Dr Apt 1211
Florence, KY 41042-7158
Phone (813) 777-6005

Other identifiers 2

IdentifierTypeStateIssuer
C.1901933OtherOHLICENSED PROFESSIONAL COUNSELOR
E.2303439OtherOHLICENSED PROFESSIONAL CLINICAL COUNSELOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240531003115 OH Practitioner - Mental Health Counselor 8820430101 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.1901933OHMDMental Health Counselor
E.2303439OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Central Clinic Inc Mental Health Access Point Mental Health Current Accepting new patients
Central Clinic Outpatient Services Mental Health CurrentSince Mar 23, 2024 Accepting new patients
Central Clinic Outpatient Services Mental Health CurrentSince Mar 23, 2024 Accepting new patients

Locations

909 Sycamore St
Cincinnati, OH 45202
Phone (513) 558-9006

311 Albert Sabin Way
Cincinnati, OH 45229
Phone (513) 558-5823

Organizations & group practices 3

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": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1063894491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 ALBERT SABIN WAY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452292838",
            "telephone_number": "513-558-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 SYCAMORE ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021305",
            "telephone_number": "513-558-9006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "970 Trellises Dr Apt 1211",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "410427158",
            "country_code": "US",
            "telephone_number": "813-777-6005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JASMINE",
        "credential": "LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.1901933",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2303439",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1901933",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "C.1901933",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL CLINICAL COUNSELOR",
            "identifier": "E.2303439",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.