Active NPI
Jennifer D Williams, LPC
- Professional Counselor
- Macon, GA
National Provider Identifier
1235845702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC003839
- Practice address
- 6055 Lakeside Commons Dr Ste 320
Macon, GA 31210-5791 - Phone
- (478) 238-9344
- NPI assigned
- Jan 27, 2023
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC003839 | GA | Primary |
Addresses
Primary practice location
6055 Lakeside Commons Dr Ste 320
Macon, GA 31210-5791
Mailing address
226 Ridgebend Dr
Centerville, GA 31028-1604
Phone (478) 225-7051
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC003839 | Other | GA | LICENSED PROFESSIONAL COUNSELOR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6055 Lakeside Commons Dr
Suite 320
Macon, GA 31210-5791
Phone (478) 238-9344
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC003839 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Personal Recovery Network LLC | Professional | Current | Accepting new patients |
Locations
6055 Lakeside Commons Dr
Ste 320
Macon, GA 31210
Phone (478) 238-9344
250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685
Organizations & group practices 1
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": "1674777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754956800000",
"number": "1235845702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "226 RIDGEBEND DR",
"city": "CENTERVILLE",
"state": "GA",
"postal_code": "310281604",
"telephone_number": "478-225-7051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6055 LAKESIDE COMMONS DR STE 320",
"city": "MACON",
"state": "GA",
"postal_code": "312105791",
"telephone_number": "478-238-9344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JENNIFER",
"middle_name": "D",
"name_prefix": "Miss",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-27",
"last_updated": "2025-08-12",
"certification_date": "2025-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC003839",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PROFESSIONAL COUNSELOR",
"identifier": "LPC003839",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.