Individual provider Active NPI

Jenifer Williamson, LPC

  • Professional Counselor
  • Little Rock, AR
National Provider Identifier
1255582748
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P1603034 Issued in AR
Practice address
7509 Cantrell Rd Ste 205
Little Rock, AR 72207-2500
Phone
(501) 519-5304
NPI assigned
Oct 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Professional Counselor 101YP2500X P1603034 AR Primary

Addresses

Primary practice location

7509 Cantrell Rd Ste 205
Little Rock, AR 72207-2500

Mailing address

926 Highway 73 W
Washington, AR 71862-9028
Phone (501) 804-3752

Other practice location 1

10600 Train Station Dr Ste C
Mabelvale, AR 72103-1644
Phone (501) 753-8400

Other identifiers 1

IdentifierTypeStateIssuer
228227719MedicaidAR

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

LicenseStateTypeSpecialty
P1603034ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
JK Williamson Consulting Professional Current Accepting new patients
Tad Tillemans, P.a. Past Accepting new patients
Life Strategies Counseling, Inc. PastSince Aug 1, 2019 Accepting new patients
TFS of Gurdon Inc PastSince Jul 1, 2020 Accepting new patients

Locations

7509 Cantrell Rd
Ste 205
Little Rock, AR 72207
Phone (501) 214-0660

Organizations & group practices 4

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": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1255582748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 HIGHWAY 73 W",
            "city": "WASHINGTON",
            "state": "AR",
            "postal_code": "718629028",
            "telephone_number": "501-804-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7509 CANTRELL RD STE 205",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722072500",
            "telephone_number": "501-519-5304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10600 Train Station Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Mabelvale",
            "state": "AR",
            "postal_code": "721031644",
            "country_code": "US",
            "telephone_number": "501-753-8400",
            "fax_number": "501-753-8401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "JENIFER",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-02",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1603034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "228227719",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.