Organization Active NPI

Williams Coaching and Counseling, PLLC

  • Mental Health Counselor
  • Jacksonville, AR
National Provider Identifier
1609459817
Registry record updated Sep 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WILLIAMS COACHING AND COUNSELING, PLLC
Practice address
112 Fair Oaks Dr
Jacksonville, AR 72076-4280
Phone
(501) 837-9723
NPI assigned
May 4, 2021
Last updated
Sep 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2022

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

Authorized official

Name
J. Dawson Williams,, D.MIN., LPC, LMFT
Title
Owner
Phone
(501) 837-9723

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

112 Fair Oaks Dr
Jacksonville, AR 72076-4280

Mailing address

PO Box 1084
Jacksonville, AR 72078-1084
Phone (501) 837-9723

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662768000000",
    "number": "1609459817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1084",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720781084",
            "telephone_number": "501-837-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 FAIR OAKS DR",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720764280",
            "telephone_number": "501-837-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS COACHING AND COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-04",
        "last_updated": "2022-09-10",
        "certification_date": "2022-09-10",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS,",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "DAWSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-837-9723",
        "authorized_official_credential": "D.MIN., LPC, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.