Individual provider Active NPI

Jeanette Williams, MS, MFT

  • Marriage & Family Therapist
  • Plainfield, NJ
National Provider Identifier
1306358510
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001415-1 Issued in NY
Practice address
1167 Gresham Rd
Plainfield, NJ 07062-2022
Phone
(908) 251-2792
NPI assigned
Oct 27, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
001415-1NYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Deeper Change: Personal Growth, Therapy and Counseling Group Marriage & Family Therapist CurrentSince Oct 11, 2020 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.

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.

Verify at the official NPI Registry.