Active NPI
Jenna Janett Nicole Williams, LPCC-S
- Professional Counselor
- Princeton, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 261574
- Practice address
- 310 Cardinal Lane
Princeton, KY 42445-8661 - Phone
- (270) 963-1207
- NPI assigned
- Feb 21, 2018
- Last updated
- May 23, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 261574 | KY | Primary |
Addresses
Primary practice location
310 Cardinal Lane
Princeton, KY 42445-8661
Mailing address
310 Cardinal LN
Princeton, KY 42445-1204
Phone (270) 963-1207
Other practice location 1
2500 Holt Rd
Paducah, KY 42001-8661
Phone (270) 963-1207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wkda Services LLC | Current | Accepting new patients | |
| Kentucky Post-Acute Medical Services 1 PSC | Current | Accepting new patients | |
| Kentucky Counseling Center, LLC | Counselor | Current | Accepting new patients |
| Wellness Place LLC | Past | Accepting new patients |
Locations
723 Burkesville Rd
Albany, KY 42602
Phone (606) 387-6421
55 Foundation Dr
Flemingsburg, KY 41041
Phone (606) 849-2351
1169 Eastern Pkwy
Ste 3328
Louisville, KY 40217
Phone (205) 914-2526
120 N 9th St
Mayfield, KY 42066
Phone (270) 247-4212
700 Jefferson St
Ste 702
Paducah, KY 42001
Phone (270) 247-4212
Organizations & group practices 4
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.
-
- Counselor
- Louisville, KY
- NPI 1932590338
-
- Behavioral Neurology & Neuropsychiatry Physician
- Flemingsburg, KY
- NPI 1831628783
-
dba West Kentucky Drug & Alcohol Intervention Services
- Addiction (Substance Use Disorder) Counselor
- Mayfield, KY
- NPI 1275947905
-
- Psychologist
- Kuttawa, KY
- NPI 1316208069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716422400000",
"number": "1760983191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 CARDINAL LN",
"city": "PRINCETON",
"state": "KY",
"postal_code": "424451204",
"telephone_number": "270-963-1207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 CARDINAL LANE",
"city": "PRINCETON",
"state": "KY",
"postal_code": "424458661",
"telephone_number": "270-963-1207"
}
],
"practiceLocations": [
{
"address_1": "2500 Holt Rd",
"address_purpose": "LOCATION",
"city": "Paducah",
"state": "KY",
"postal_code": "420018661",
"country_code": "US",
"telephone_number": "270-963-1207",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JENNA",
"middle_name": "JANETT NICOLE",
"credential": "LPCC-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-21",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "261574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Princeton, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.