Active NPI
Jeanette Williams, MS, MFT
- Marriage & Family Therapist
- Plainfield, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 001415-1
- Practice address
- 1167 Gresham Rd
Plainfield, NJ 07062-2022 - Phone
- (908) 251-2792
- NPI assigned
- Oct 27, 2017
- Last updated
- Mar 17, 2018
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 001415-1 | NY | Primary |
Addresses
Primary practice location
1167 Gresham Rd
Plainfield, NJ 07062-2022
Mailing address
1167 Gresham Rd
Plainfield, NJ 07062-2022
Phone (908) 251-2792
Other practice location 1
1314 Park Ave
Plainfield, NJ 07060-3253
Phone (908) 274-4451
Other practice location 2
15 W Prospect St
East Brunswick, NJ 08816-2161
Phone (908) 274-4451
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001415-1 | NY | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deeper Change: Personal Growth, Therapy and Counseling Group | Marriage & Family Therapist | Current | Accepting new patients |
Locations
1550 Park Ave
Ste 101
South Plainfield, NJ 07080
Phone (908) 279-6705
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Marriage & Family Therapist
- South Plainfield, NJ
- NPI 1851875181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1306358510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1167 GRESHAM RD",
"city": "PLAINFIELD",
"state": "NJ",
"postal_code": "070622022",
"telephone_number": "908-251-2792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1167 GRESHAM RD",
"city": "PLAINFIELD",
"state": "NJ",
"postal_code": "070622022",
"telephone_number": "908-251-2792"
}
],
"practiceLocations": [
{
"address_1": "1314 Park Ave",
"address_purpose": "LOCATION",
"city": "Plainfield",
"state": "NJ",
"postal_code": "070603253",
"country_code": "US",
"telephone_number": "908-274-4451",
"fax_number": "908-274-4451",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15 W Prospect St",
"address_purpose": "LOCATION",
"city": "East Brunswick",
"state": "NJ",
"postal_code": "088162161",
"country_code": "US",
"telephone_number": "908-274-4451",
"fax_number": "908-755-6223",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JEANETTE",
"name_prefix": "Miss",
"credential": "MS, MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-27",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "001415-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plainfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.