Active NPI
Roshawn C Williams, QBHP
- Mental Health Counselor
- Jacksonville, AR
National Provider Identifier
1356949259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 109 Magnolia Court
Jacksonville, AR 72076-5365 - Phone
- (501) 533-4563
- NPI assigned
- Oct 13, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
109 Magnolia Court
Jacksonville, AR 72076-5365
Mailing address
712 W 3Rd St Ste 100
Little Rock, AR 72201-2221
Phone (501) 379-4261
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Astounding Care Services | Current | Accepting new patients | |
| Gain, Inc. | Current | Accepting new patients | |
| Gain, Inc. | Current | Accepting new patients |
Locations
712 W 3rd St
Ste 100
Little Rock, AR 72201
Phone (501) 379-4246
Organizations & group practices 3
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.
-
- In Home Supportive Care Agency
- Jacksonville, AR
- NPI 1639915937
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Little Rock, AR
- NPI 1871392712
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Little Rock, AR
- NPI 1992885180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720224000000",
"number": "1356949259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 W 3RD ST STE 100",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722012221",
"telephone_number": "501-379-4261",
"fax_number": "844-605-1515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 MAGNOLIA COURT",
"city": "JACKSONVILLE",
"state": "AR",
"postal_code": "720765365",
"telephone_number": "501-533-4563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ROSHAWN",
"middle_name": "C",
"credential": "QBHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-13",
"last_updated": "2024-07-06",
"certification_date": "2024-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.