Active NPI
Jennifer L Williams, LMFT
- Marriage & Family Therapist
- Beaufort, SC
National Provider Identifier
1104157569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT001286
- Practice address
- 69 Robert Smalls Pkwy Ste 2B
Beaufort, SC 29906 - Phone
- (843) 473-9216
- Fax
- (888) 333-7909
- NPI assigned
- Jan 26, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT001286 | GA | Primary |
Addresses
Primary practice location
69 Robert Smalls Pkwy Ste 2B
Beaufort, SC 29906
Mailing address
69 Robert Smalls Pkwy Ste 2B
Beaufort, SC 29906-4273
Phone (843) 473-9216
Other practice location 1
2004 North St
Beaufort, SC 29902-4824
Phone (843) 473-9216
Other practice location 2
7 E Congress St Ste 1000C
Savannah, GA 31401-3357
Phone (912) 436-6320
Other practice location 3
2004 North St
Beaufort, SC 29902-4824
Phone (843) 473-9216
Other practice location 4
140 Lakes Blvd
Suite 215
Kingsland, GA 31548-6813
Phone (912) 510-9227
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003149931A | Medicaid | GA | |
| LT1076 | Medicaid | SC |
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 |
|---|---|---|---|
| MFT001286 | GA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561593600000",
"number": "1104157569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 ROBERT SMALLS PKWY STE 2B",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299064273",
"telephone_number": "843-473-9216",
"fax_number": "888-333-7909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 ROBERT SMALLS PKWY STE 2B",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "29906",
"telephone_number": "843-473-9216",
"fax_number": "888-333-7909"
}
],
"practiceLocations": [
{
"address_1": "2004 North St",
"address_purpose": "LOCATION",
"city": "Beaufort",
"state": "SC",
"postal_code": "299024824",
"country_code": "US",
"telephone_number": "843-473-9216",
"fax_number": "888-333-7909",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7 E Congress St Ste 1000C",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314013357",
"country_code": "US",
"telephone_number": "912-436-6320",
"fax_number": "888-333-7909",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2004 North St",
"address_purpose": "LOCATION",
"city": "Beaufort",
"state": "SC",
"postal_code": "299024824",
"country_code": "US",
"telephone_number": "843-473-9216",
"fax_number": "888-333-7909",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "140 Lakes Blvd",
"address_2": "Suite 215",
"address_purpose": "LOCATION",
"city": "Kingsland",
"state": "GA",
"postal_code": "315486813",
"country_code": "US",
"telephone_number": "912-510-9227",
"fax_number": "912-510-9228",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JENNIFER",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-26",
"last_updated": "2019-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "MFT001286",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003149931A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LT1076",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaufort, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.