Jordache Williams, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

8199 Issued in SC

Practice address

1030 Riverwalk Pkwy Ste 204
Rock Hill, SC 29730-4265

Phone

(803) 681-0778

Fax

(803) 909-9064

NPI assigned

Jun 22, 2018

Sex

Male

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

Enrolled in SC

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 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Atlas Concepts, LLC

  • Professional Counselor
  • Rock Hill, SC
  • NPI 1396507133
  NPD Authorized official
• Brown Clinical Services

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1881999209
  NPD (past)

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1760976773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36652",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297320510",
            "telephone_number": "803-681-0778",
            "fax_number": "803-909-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 RIVERWALK PKWY STE 204",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304265",
            "telephone_number": "803-681-0778",
            "fax_number": "803-909-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JORDACHE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-22",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "8199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diamond Williams
• Elizabeth Renee Williams, RN
• Hope Desiree Williams
• Janaysja B Williams, RBT
• Jennifer Pegg Williams, PHARMD
• Lakesha Williams
• Melody R Williams
• Michael Williams
• Pamela Williams
• Pamela G Williams

• Professional Counselor in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.