Jessi Lin Antle-Williams, LPC-23028

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-23028 Issued in AZ

Practice address

899 N Wilmot Rd Ste B
Tucson, AZ 85711-1712

Phone

(520) 290-1100

NPI assigned

Sep 24, 2021

Last updated

Jun 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessi.antle-williams.1@32652.direct.athenahealth.com

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.

• Marana Health Center, Inc

  dba MHC Healthcare

  • Federally Qualified Health Center (FQHC)
  • Marana, AZ
  • NPI 1447263405
  Medicare reassignment NPD
• Marana Health Center Inc

  dba MHC Healthcare Dental Office

  • Federally Qualified Health Center (FQHC)
  • Tucson, AZ
  • NPI 1396512034
  NPD
• Marana Health Center, Inc

  dba MHC Integrated Care Pharmacy

  • Clinic Pharmacy
  • Tucson, AZ
  • NPI 1073072450
  NPD (past)

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1427729862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 N WILMOT RD STE B",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111712",
            "telephone_number": "520-290-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 N WILMOT RD STE B",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111712",
            "telephone_number": "520-290-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTLE-WILLIAMS",
        "first_name": "JESSI",
        "middle_name": "LIN",
        "credential": "LPC-23028",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-24",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-23028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "janwilliams@mhchealthcare.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "899 N Wilmot Rd Ste B",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857111712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Barbara A Anthony
• Erin Marie Anthony
• Michelle Robert Anthony
• Rosemarie Anthony
• Luis Arturo Antillon Jr., O.D.
• Kyle Antle, PT, DPT
• Rein Anton, MD
• Jessica Antonel
• Sandra K Antoniak, M.D.
• Jodi Fay Antrobus, LPN

• Professional Counselor in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.