Individual provider Active NPI

Jenna Janett Nicole Williams, LPCC-S

  • Professional Counselor
  • Princeton, KY
National Provider Identifier
1760983191
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
261574 Issued in KY
Practice address
310 Cardinal Lane
Princeton, KY 42445-8661
Phone
(270) 963-1207
NPI assigned
Feb 21, 2018
Last updated
May 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240215003226 KY Practitioner - Mental Health Counselor 5294179420 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wkda Services LLC CurrentSince Aug 8, 2025 Accepting new patients
Kentucky Post-Acute Medical Services 1 PSC CurrentSince Jan 13, 2025 Accepting new patients
Kentucky Counseling Center, LLC Counselor CurrentSince Feb 5, 2024 Accepting new patients
Wellness Place LLC PastSince Aug 11, 2019 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.

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

Verify at the official NPI Registry.