Individual provider Active NPI

Jada Victoria Williams, LMCHC

  • Mental Health Counselor
  • Greensboro, NC
National Provider Identifier
1548997257
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
18072 Issued in NC
Practice address
445 Dolley Madison Rd Ste 100
Greensboro, NC 27410-5166
Phone
(336) 649-9000
NPI assigned
Aug 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Mental Health Counselor 101YM0800X 18072 NC Primary

Addresses

Primary practice location

445 Dolley Madison Rd Ste 100
Greensboro, NC 27410-5166

Mailing address

60 Livingston St Ste 100
Asheville, NC 28801-4400
Phone (828) 707-4473

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
I20241030004503 NC Practitioner - Mental Health Counselor 4385177286 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18072NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Behavioral Medicine PC CurrentSince Nov 13, 2024 Accepting new patients
Monarch CurrentSince Oct 7, 2024 Accepting new patients
Monarch Current Accepting new patients
Soft Landing Sunrise Counseling, PLLC Current Accepting new patients
Monarch CurrentSince Oct 7, 2024 Accepting new patients

Locations

350 Pee Dee Ave
Ste 101
Albemarle, NC 28001
Phone (704) 986-1522

3057 Freedom Dr
Charlotte, NC 28208
Phone (704) 334-2226

445 Dolley Madison Rd
Ste 100
Greensboro, NC 27410
Phone (336) 649-9000

820 Grimes Blvd
Lexington, NC 27292
Phone (336) 224-6071

Organizations & group practices 5

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": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1548997257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 LIVINGSTON ST STE 100",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014400",
            "telephone_number": "828-707-4473",
            "fax_number": "828-236-9825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 DOLLEY MADISON RD STE 100",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274105166",
            "telephone_number": "336-649-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JADA",
        "middle_name": "VICTORIA",
        "credential": "LMCHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-03",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "18072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.