Individual provider Active NPI

Jeannie M Williams, LPC

  • Professional Counselor
  • Winnsboro, LA
National Provider Identifier
1164167748
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4262 Issued in LA
Practice address
2104 Loop Rd Ste C
Winnsboro, LA 71295-3341
Phone
(318) 435-6377
NPI assigned
Apr 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4262 LA Primary

Addresses

Primary practice location

2104 Loop Rd Ste C
Winnsboro, LA 71295-3341

Mailing address

2104 Loop Rd Ste C
Winnsboro, LA 71295-3341

Other practice location 1

2106 Loop Rd
Winnsboro, LA 71295-3344
Phone (318) 435-6363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20240523001845 LA Practitioner - Mental Health Counselor 4587006499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2106 Loop Rd
Winnsboro, LA 71295-1300

2106 Loop Rd
Winnsboro, LA 71295-3344
Phone (318) 412-5265

PO Box
Suite 1300
Winnsboro, LA 71295

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4262LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin Parish Hospital Service Dist 1 CurrentSince May 1, 2024 Accepting new patients
Franklin Parish Hospital Service Dist 1 CurrentSince May 1, 2024 Accepting new patients

Locations

2104 Loop Rd
Ste C
Winnsboro, LA 71295
Phone (318) 435-4571

2106 Loop Rd
Winnsboro, LA 71295
Phone (318) 282-8482

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": "1651104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1164167748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 LOOP RD STE C",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712953341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 LOOP RD STE C",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712953341",
            "telephone_number": "318-435-6377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2106 Loop Rd",
            "address_purpose": "LOCATION",
            "city": "Winnsboro",
            "state": "LA",
            "postal_code": "712953344",
            "country_code": "US",
            "telephone_number": "318-435-6363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JEANNIE",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-28",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "4262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnsboro, LA

Sources for this page

Verify at the official NPI Registry.