Individual provider Active NPI

Jessica Renee Williams

  • Professional Counselor
  • Morgantown, WV
National Provider Identifier
1821710930
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2911 Issued in WV
Practice address
3000 Coombs Farm Rd
Morgantown, WV 26508-1189
Phone
(304) 241-1097
NPI assigned
Sep 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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 2911 WV Primary

Addresses

Primary practice location

3000 Coombs Farm Rd
Morgantown, WV 26508-1189

Mailing address

3000 Coombs Farm Rd
Morgantown, WV 26508-1189
Phone (304) 241-1097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20240116002843 WV Practitioner - Mental Health Counselor 3779935648 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Seneca Health Services, Inc. CurrentSince Jan 4, 2024 Accepting new patients
Seneca Health Services, Inc. CurrentSince Jan 4, 2024 Accepting new patients
Women in Balance, LLC Professional Past Accepting new patients

Locations

668 Church St
Lewisburg, WV 24901
Phone (304) 497-0500

704 3rd Ave
#A
Marlinton, WV 24954
Phone (304) 799-6865

804 Industrial Park Rd
Ste 1
Maxwelton, WV 24957
Phone (304) 497-0500

131 Wellness Dr
Summersville, WV 26651
Phone (304) 872-6503

70 Parcoal Rd
#71
Webster Springs, WV 26288
Phone (304) 847-5425

Organizations & group practices 3

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": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1821710930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 COOMBS FARM RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265081189",
            "telephone_number": "304-241-1097",
            "fax_number": "304-872-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 COOMBS FARM RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265081189",
            "telephone_number": "304-241-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JESSICA",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-15",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "2911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.