Active NPI
Jared Roland Williams, LPC, LMFT
- Marriage & Family Therapist
- Dallas, TX
National Provider Identifier
1285348623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 203763
- Practice address
- 5915 Edinburgh CT
Dallas, TX 75252-5112 - Phone
- (225) 405-5902
- NPI assigned
- Jan 10, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 83513 | TX | |
| Marriage & Family Therapist | 106H00000X | 203763 | TX | Primary |
Addresses
Primary practice location
5915 Edinburgh CT
Dallas, TX 75252-5112
Mailing address
5915 Edinburgh CT
Dallas, TX 75252-5112
Phone (225) 405-5902
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
| License | State | Type | Specialty |
|---|---|---|---|
| 83513 | TX | MD | Professional Counselor |
| 203763 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673308800000",
"number": "1285348623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5915 EDINBURGH CT",
"city": "DALLAS",
"state": "TX",
"postal_code": "752525112",
"telephone_number": "225-405-5902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5915 EDINBURGH CT",
"city": "DALLAS",
"state": "TX",
"postal_code": "752525112",
"telephone_number": "225-405-5902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JARED",
"middle_name": "ROLAND",
"name_prefix": "Mr.",
"credential": "LPC, LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-10",
"last_updated": "2023-01-10",
"certification_date": "2023-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "83513",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "203763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.