Individual provider Active NPI

Julie Andria Williams, M.A. NCC ADS LPC-S

  • Professional Counselor
  • Arlington, TX
National Provider Identifier
1508297979
Registry record updated Jan 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
66362 Issued in TX
Practice address
4025 Woodland Park Blvd Ste 102
Arlington, TX 76013-8051
Phone
(469) 672-5472
Fax
(469) 242-0791
NPI assigned
Dec 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 66362 TX
Professional Counselor 101YP2500X 66362 TX Primary

Addresses

Primary practice location

4025 Woodland Park Blvd Ste 102
Arlington, TX 76013-8051

Mailing address

PO Box 1711
Cedar Hill, TX 75106-1711
Phone (469) 672-5472

Other identifiers 1

IdentifierTypeStateIssuer
32820204MedicaidTX

Other names 1

  • Mrs. Jaye Williams Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20241223001154 TX Practitioner - Mental Health Counselor 1153858659 Practice locations: Arlington, TX

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4025 Woodland Park Blvd
Suite 102
Arlington, TX 76013-8051
Phone (469) 672-5472

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736553600000",
    "number": "1508297979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1711",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751061711",
            "telephone_number": "469-672-5472",
            "fax_number": "817-405-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 WOODLAND PARK BLVD STE 102",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760138051",
            "telephone_number": "469-672-5472",
            "fax_number": "469-242-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JULIE",
        "middle_name": "ANDRIA",
        "name_prefix": "Mrs.",
        "credential": "M.A. NCC ADS LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-10",
        "last_updated": "2025-01-11",
        "certification_date": "2025-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "66362",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "66362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32820204",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAYE",
            "last_name": "WILLIAMS",
            "prefix": "MRS.",
            "credential": "M.A. NCC ADS LPC-S",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.