Individual provider Active NPI

Jessica Marie Wiles-Williamson, LPC-A

  • Mental Health Counselor
  • Morganton, NC
National Provider Identifier
1508364829
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A13704 Issued in NC
Practice address
207 Queen St
Morganton, NC 28655-3341
Phone
(828) 439-8191
NPI assigned
Feb 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A13704 NC Primary

Addresses

Primary practice location

207 Queen St
Morganton, NC 28655-3341

Mailing address

207 Queen St
Morganton, NC 28655-3341
Phone (828) 439-8191

Other practice location 1

1170A Fairgrove Church Rd
Hickory, NC 28602-9695
Phone (828) 464-1172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240619002111 NC Practitioner - Mental Health Counselor 6901349869 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A13704NCMDMental Health Counselor
13704NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rha Health Services, Inc. CurrentSince Apr 14, 2024 Accepting new patients
Rha Health Services, Inc CurrentSince Apr 14, 2024 Accepting new patients
Rha Health Services Inc Current Accepting new patients

Locations

211 Perimeter Center Pkwy NE
Ste 750
Atlanta, GA 30346

211 S Centennial St
High Point, NC 27260
Phone (336) 841-0143

2415 Morganton Blvd SW
Lenoir, NC 28645
Phone (828) 394-5563

2415 Morganton Blvd SW
Ste 100
Lenoir, NC 28645
Phone (828) 394-5563

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1508364829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 QUEEN ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553341",
            "telephone_number": "828-439-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 QUEEN ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553341",
            "telephone_number": "828-439-8191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1170A Fairgrove Church Rd",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286029695",
            "country_code": "US",
            "telephone_number": "828-464-1172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILES-WILLIAMSON",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "LPC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-01",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A13704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

Verify at the official NPI Registry.