Individual provider Active NPI

Jennifer Ann Williams, LPC

  • Professional Counselor
  • Prairie Du Chien, WI
National Provider Identifier
1760829170
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6177-125 Issued in WI
Practice address
225 N Beaumont Rd
Suite 326
Prairie Du Chien, WI 53821-1445
Phone
(608) 326-0248
Fax
(608) 326-4395
NPI assigned
May 24, 2013
Last updated
Aug 31, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1800-226 WI
Professional Counselor 101YP2500X 6177-125 WI Primary

Addresses

Primary practice location

225 N Beaumont Rd
Suite 326
Prairie Du Chien, WI 53821-1445

Mailing address

225 N Beaumont Rd
Suite 326
Prairie Du Chien, WI 53821-1445
Phone (608) 326-0248

Other identifiers 2

IdentifierTypeStateIssuer
12683710OtherCAQH
100035152MedicaidWI

Other names 1

  • Ms. Jennifer Ann Mutschler Former name

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

LicenseStateTypeSpecialty
1800-226WIMDProfessional Counselor
6177-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
County of Crawford PastSince Apr 1, 2005 Accepting new patients
Crawford County CCS Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1760829170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N BEAUMONT RD",
            "address_2": "SUITE 326",
            "city": "PRAIRIE DU CHIEN",
            "state": "WI",
            "postal_code": "538211445",
            "telephone_number": "608-326-0248",
            "fax_number": "608-326-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N BEAUMONT RD",
            "address_2": "SUITE 326",
            "city": "PRAIRIE DU CHIEN",
            "state": "WI",
            "postal_code": "538211445",
            "telephone_number": "608-326-0248",
            "fax_number": "608-326-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-24",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "1800-226",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "6177-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12683710",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100035152",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MUTSCHLER",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "LPC-T",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Prairie Du Chien, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.

Verify at the official NPI Registry.