Jacqueline Michelle Williams Reade, MS, PHD, LMFT, LCPC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

87056 Issued in CA

Practice address

1245 W Highland Ave
Redlands, CA 92373-6680

Phone

(909) 206-2001

NPI assigned

May 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Jacqueline Williams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1699984542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 W HIGHLAND AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923736680",
            "telephone_number": "206-406-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 W HIGHLAND AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923736680",
            "telephone_number": "909-206-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS READE",
        "first_name": "JACQUELINE",
        "middle_name": "MICHELLE",
        "credential": "MS, PHD, LMFT, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "87056",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "70359",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MT",
            "license": "461",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "WILLIAMS",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rosalie Whyte
• Thomas Allen Wickham, PH.D.
• Margaret Elizabeth Wilcox
• Brent Wild, DPT
• James Robert Wiley, PA-C
• David Williams
• Debra Annette Williams, LCSW, MSW
• John T Williams, D.P.M.
• Lauren Althea Williams, LCSW
• Lisa Tolliver Williams, LCSW

• Marriage & Family Therapist in Redlands, CA
• Providers in Redlands, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.