Individual provider Active NPI

Jason Williamson

  • Professional Counselor
  • Caldwell, ID
National Provider Identifier
1649923905
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8331429 Issued in ID
Practice address
222 Tarragon Way
Caldwell, ID 83605-1164
Phone
(208) 310-9710
NPI assigned
Jan 27, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH61671194 WA
Professional Counselor 101YP2500X 8331429 ID Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 8331429 ID
Professional Counselor 101YP2500X C9345 OR

Addresses

Primary practice location

222 Tarragon Way
Caldwell, ID 83605-1164

Mailing address

222 Tarragon Way
Caldwell, ID 83605-1164
Phone (208) 310-9710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, AZ, OH3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240725003801 NM Practitioner - Mental Health Counselor 7911443973 Reassigns benefits to 1 organization
I20250916000088 AZ Practitioner - Mental Health Counselor 7911443973 Reassigns benefits to 1 organization
I20250919003904 OH Practitioner - Mental Health Counselor 7911443973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1640 Boro PL
FL 4
MC Lean, VA 22102-3626

3413 Perryville Rd
Danville, KY 40422-8833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LH61671194WAMDMental Health Counselor
8331429IDMDProfessional Counselor
C9345ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vantage Point Counseling Mental Health Current Accepting new patients
Affect Therapeutics, Inc. CurrentSince Jun 12, 2025 Accepting new patients
Affect Therapeutics Inc Addiction (Substance Use Disorder) CurrentSince May 17, 2024 Accepting new patients
Affect Therapeutics, Inc. CurrentSince May 17, 2024 Accepting new patients
Affect Therapeutics Inc PastSince Feb 23, 2025 Accepting new patients
Weeks and Vietri Counseling & Community Services. PS Professional PastSince Feb 1, 2022 Accepting new patients

Locations

8880 E Speedway Blvd
Ste 203
Tucson, AZ 85710
Phone (323) 601-0900

1202 Central Ave SW
Ste 19
Albuquerque, NM 87102

507 Richland Ave
Ste 105
Athens, OH 45701
Phone (407) 693-2666

15405 SW 116th Ave
Ste 124
King City, OR 97224
Phone (617) 921-6422

1640 Boro Pl
Fl 4
Tysons, VA 22102
Phone (571) 440-1887

1112 Daniels St
Bsmt
Vancouver, WA 98660

Organizations & group practices 6

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": "1643241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1649923905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 TARRAGON WAY",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836051164",
            "telephone_number": "208-310-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 TARRAGON WAY",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836051164",
            "telephone_number": "208-310-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "JASON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-27",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61671194",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "8331429",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ID",
            "license": "8331429",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C9345",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

Verify at the official NPI Registry.