Active NPI
Jessica A Williams, LMHC
- Mental Health Counselor
- Lutz, FL
National Provider Identifier
1609105683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH 14029
- Practice address
- 25344 Wesley Chapel Blvd
Ste. 101
Lutz, FL 33559-2658 - Phone
- (813) 421-5762
- NPI assigned
- Dec 21, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH 14029 | FL | Primary |
| School Counselor | 101YS0200X |
Addresses
Primary practice location
25344 Wesley Chapel Blvd
Ste. 101
Lutz, FL 33559-2658
Mailing address
25932 Terrawood Loop
Land O Lakes, FL 34639-5731
Phone (813) 486-6560
Other names 1
- Jessica A. Metzler
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH 14029 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472083200000",
"number": "1609105683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25932 TERRAWOOD LOOP",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346395731",
"telephone_number": "813-486-6560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25344 WESLEY CHAPEL BLVD",
"address_2": "STE. 101",
"city": "LUTZ",
"state": "FL",
"postal_code": "335592658",
"telephone_number": "813-421-5762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JESSICA",
"middle_name": "A",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-21",
"last_updated": "2016-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH 14029",
"primary": true
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "METZLER",
"middle_name": "A.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.