Individual provider Active NPI

William Henry Jones

  • Professional Counselor
  • Kenosha, WI
National Provider Identifier
1366158149
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
12582-125 Issued in WI
Practice address
920 60TH St
Kenosha, WI 53140-4041
Phone
(262) 654-5333
Fax
(262) 654-7818
NPI assigned
Jan 25, 2023
Last updated
May 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 12582-125 WI Primary

Addresses

Primary practice location

920 60TH St
Kenosha, WI 53140-4041

Mailing address

920 60TH St
Kenosha, WI 53140-4041
Phone (262) 654-5333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20260617000455 WI Practitioner - Mental Health Counselor 1557832656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8120 75TH St Apt
Suite 7
Kenosha, WI 53142-7618

920 60TH St
Kenosha, WI 53140-4041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12582-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Interconnections, SC CurrentSince Jun 10, 2026 Accepting new patients

Locations

920 60th St
Kenosha, WI 53140
Phone (262) 654-5333

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": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1366158149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 60TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531404041",
            "telephone_number": "262-654-5333",
            "fax_number": "262-654-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 60TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531404041",
            "telephone_number": "262-654-5333",
            "fax_number": "262-654-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "WILLIAM",
        "middle_name": "HENRY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-25",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "12582-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

Verify at the official NPI Registry.