Active NPI
Jessica Marie Wiles-Williamson, LPC-A
- Mental Health Counselor
- Morganton, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A13704
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A13704 | NC | MD | Mental Health Counselor |
| 13704 | NC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rha Health Services, Inc. | Current | Accepting new patients | |
| Rha Health Services, Inc | Current | 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.
-
- Community/Behavioral Health Agency
- Concord, NC
- NPI 1447376306
-
- Community/Behavioral Health Agency
- Yanceyville, NC
- NPI 1629489307
-
- Community/Behavioral Health Agency
- Asheville, NC
- NPI 1700918125
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.