Active NPI
Jennifer Ann Williams, LPC
- Professional Counselor
- Prairie Du Chien, WI
National Provider Identifier
1760829170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6177-125
- 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, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12683710 | Other | CAQH | |
| 100035152 | Medicaid | WI |
Other names 1
- Ms. Jennifer Ann Mutschler
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1800-226 | WI | MD | Professional Counselor |
| 6177-125 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Crawford | Past | 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.
-
dba Crawford County Health and Human Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Prairie Du Chien, WI
- NPI 1265513840
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Prairie Du Chien, WI
- NPI 1417333238
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.