Jacquelyn Counts Williams, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R28880 Issued in NM

Practice address

3521 Del Rey Blvd Ste B
Las Cruces, NM 88012-7708

Phone

(575) 522-7260

NPI assigned

Jun 27, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Border Area Mental Health Services, Inc.Group PAC ID 5193797587, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Border Area Mental Health Services, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Silver City, NM
  • NPI 1609886787
  Medicare reassignment Care Compare group NPD
• PHC-Las Cruces Inc

  • Family Medicine Physician
  • Las Cruces, NM
  • NPI 1164445136
  Medicare reassignment NPD
• PHC Las Cruces Inc

  dba ID Consultants

  • Infectious Disease Physician
  • Las Cruces, NM
  • NPI 1942581202
  NPD
• New Mexico Health Options

  • Community/Behavioral Health Agency
  • Silver City, NM
  • NPI 1265889026
  NPD (past)

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1396942074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 DEL REY BLVD STE B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880127708",
            "telephone_number": "575-522-7260",
            "fax_number": "575-522-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 DEL REY BLVD STE B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880127708",
            "telephone_number": "575-522-7260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2450 S Telshor Blvd",
            "address_2": "Family Medicine Residency Center",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880115069",
            "country_code": "US",
            "telephone_number": "505-521-5370",
            "fax_number": "505-521-5376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 S Don Roser Dr Ste F2",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880114577",
            "country_code": "US",
            "telephone_number": "575-521-4848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JACQUELYN",
        "middle_name": "COUNTS",
        "name_prefix": "Dr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "NM",
            "license": "R28880",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "R28880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abriana Williams
• Carl L Williams, PH.D,
• Ellen Williams
• Emily E Williams
• Gwen Renee Williams, CNP
• Jana Williams, M.D.
• Jessica Williams
• Julia Williams
• Llewelyn Anthony Williams, M.D.
• Mark Timothy Williams, LISW,LCSW,LADAC

• Psychiatric/Mental Health Nurse Practitioner in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.