Jenna Williams, PSS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

THW000111284 Issued in OR

Practice address

1190 Broadway St NE
Salem, OR 97301-1141

Phone

(503) 393-4273

NPI assigned

Jun 4, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1710728613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 OAK ST UNIT 108",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973811773",
            "telephone_number": "503-409-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 BROADWAY ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011141",
            "telephone_number": "503-393-4273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JENNA",
        "credential": "PSS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "THW000111284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Williams
• Gary Frank Williams
• Gerald Eugene Williams, D.O.
• Holly Susan Williams, MS, LPC
• James George Williams, PSS & THW
• Julian Mark Williams, CCP
• Katelyn Williams, FNP-C
• Kathe M Williams, BSN,RN,MSN
• Kay Cee Williams, LPC
• Lauren Gene Williams, FNP

• Peer Specialist in Salem, OR
• Providers in Salem, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.