Individual provider Active NPI

Jamal Williams, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Gig Harbor, WA
National Provider Identifier
1811575194
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
61377931 Issued in WA
Practice address
2615 Jahn Ave NW Ste E4
Gig Harbor, WA 98335-7997
Phone
(360) 334-7197
NPI assigned
Mar 30, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95133960 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 61377931 WA Primary

Addresses

Primary practice location

2615 Jahn Ave NW Ste E4
Gig Harbor, WA 98335-7997

Mailing address

5606 18TH St NW
Gig Harbor, WA 98335-7527
Phone (501) 771-3538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221230000854 WA Practitioner - Nurse Practitioner 5395115745 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2615 Jahn Ave NW
Suite E4
Gig Harbor, WA 98335-7997

5606 18TH St NW
Gig Harbor, WA 98335-7527
Phone (260) 334-7197

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95133960CAMDRegistered Nurse
61377931WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Citadel Psychiatry, PLLC CurrentSince Mar 18, 2025 Accepting new patients
Mindful Therapy Group PC Psychiatric/Mental Health CurrentSince Dec 19, 2022 Accepting new patients

Locations

2615 Jahn Ave NW
Ste E4
Gig Harbor, WA 98335
Phone (253) 314-6430

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698

320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113

7100 Fort Dent Way
Ste 220
Tukwila, WA 98188
Phone (206) 708-7274

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1811575194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5606 18TH ST NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983357527",
            "telephone_number": "501-771-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 JAHN AVE NW STE E4",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983357997",
            "telephone_number": "360-334-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JAMAL",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-30",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95133960",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "61377931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

Verify at the official NPI Registry.