Individual provider Active NPI

Jennie L Williams, LPC

  • Mental Health Counselor
  • Pittsburgh, PA
National Provider Identifier
1336200484
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PA000198 Issued in PA
Practice address
1380 Old Freeport Rd
Pittsburgh, PA 15238-3127
Phone
(412) 963-9220
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PA000198 PA Primary

Addresses

Primary practice location

1380 Old Freeport Rd
Pittsburgh, PA 15238-3127

Mailing address

1380 Old Freeport Rd
Pittsburgh, PA 15238-3127
Phone (412) 963-9220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240605000269 PA Practitioner - Mental Health Counselor 6800338930 Practice locations: Pittsburgh, PA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1370 Old Freeport Rd
Suite 2B
Pittsburgh, PA 15238-3116

1370 Old Freeport Rd
Suite 2B
Pittsburgh, PA 15238-4104
Phone (412) 963-9220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA000198PAMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336200484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 OLD FREEPORT RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152383127",
            "telephone_number": "412-963-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 OLD FREEPORT RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152383127",
            "telephone_number": "412-963-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JENNIE",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PA000198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.