Jennifer Marie Williams, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0704012782 Issued in VA

Practice address

4240 Portsmouth Blvd Ste 444
Chesapeake, VA 23321-2129

Phone

(336) 324-3353

NPI assigned

Feb 26, 2024

Last updated

Feb 26, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Goal Oriented Mental Health (Go)

  • Substance Abuse Rehabilitation Facility
  • Chesapeake, VA
  • NPI 1548026511
  NPD Authorized official

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1457117640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 PORTSMOUTH BLVD STE 444",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233212129",
            "telephone_number": "336-324-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 PORTSMOUTH BLVD STE 444",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233212129",
            "telephone_number": "336-324-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704012782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esperanza Rancheska Williams
• Faith M Williams, LPC
• Fred Aaron Williams, MD
• Gale Eugenia Williams, RPH
• Heather Williams
• Joshua Williams
• Kelsey E Williams
• Kennedy Williams
• Lamarco Williams
• Lazetta Williams

• Mental Health Counselor in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.

Verify at the official NPI Registry.