Jonathan Williams, LPC-MHSP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6830 Issued in TN

Practice address

120 Omni Dr
McMinnville, TN 37110-1331

Phone

(931) 473-9649

NPI assigned

Jan 26, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Volunteer Behavioral Health Care SystemGroup PAC ID 3678485802, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/vbhcs/r4/

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.

• Volunteer Behavioral Health Care System

  • Counselor
  • Murfreesboro, TN
  • NPI 1043267107
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1215799192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3241 DEER RUN RD",
            "city": "ALTAMONT",
            "state": "TN",
            "postal_code": "373014249",
            "telephone_number": "862-220-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 OMNI DR",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371101331",
            "telephone_number": "931-473-9649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JONATHAN",
        "name_prefix": "Mr.",
        "credential": "LPC-MHSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "6830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Michael Whitfield, FNP-C
• Elizabeth Ann Wilder, FNP-C
• Willa Tree Connections, PLLC
• William Bradford Brock (William Bradford Brock, M.D.)
• Allison Baylee Williams, M.S., CCC-SLP
• Patricia Williams
• Martha Willis, DPT
• Alison Wilson, DDS
• Don Allen Wilson, DDS
• Thomas R Winston, MD

• Professional Counselor in McMinnville, TN
• Providers in McMinnville, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.