Jennifer Williams

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC20705 Issued in SD

Practice address

803 Soo San Dr
Rapid City, SD 57702-3142

Phone

(605) 343-7297

Fax

(605) 721-9858

NPI assigned

Nov 7, 2022

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

Enrolled in SD

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Black Hills Works IncGroup PAC ID 0244297349, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Black Hills Works Inc

  • Developmentally Disabled Services Day Training Agency
  • Rapid City, SD
  • NPI 1992850952
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1467160705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 SOO SAN DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023142",
            "telephone_number": "605-343-7297",
            "fax_number": "605-721-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 SOO SAN DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023142",
            "telephone_number": "605-343-7297",
            "fax_number": "605-721-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SD",
            "license": "LPC20705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Williams Psychological, LLC
• Braden Williams
• Bridget Theresa Williams, MS
• Elizabeth Anne Williams, MSPT
• Gregory P Williams, DDS
• Karli M Williams, D.D.S.
• Shannon Alexandria Williams, MD
• Heather Ann Williamson, P.T.
• Ingrid Williamson
• Marcia Mae Williamson

• Professional Counselor in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Professional Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.