Jennifer Nivin Williamson, PH.D., LPC, LPCC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

76332 Issued in TX

Practice address

1205 Thistle Park
Waco, TX 76706-7292

Phone

(502) 438-8711

NPI assigned

Aug 6, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Pax Consulting and Counseling, PLLC

  • Mental Health Counselor
  • Waco, TX
  • NPI 1457990947
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1205481207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2202",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766432202",
            "telephone_number": "502-438-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 THISTLE PARK",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767067292",
            "telephone_number": "502-438-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "JENNIFER",
        "middle_name": "NIVIN",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPC, LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "102990",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "76332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jona M Williams, COTA
• Linda A Williams, MD
• Matthea Sherrell Williams, LAT, ATC
• Damaris Williamson, O.D.
• Daniel Williamson, PH.D; LPCC-S; LPC
• Diana L Williford, PMHNP-BC
• Nealand Oliver Willingham II, D.P.M.
• Jonathan Willis, M.D.
• Laura Lynn Willis, APRN
• Todd Bradford Willis, DDS

• Professional Counselor in Waco, TX
• Providers in Waco, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.