Active NPI
Jennifer Renae Avery-Williams, LPC
- Mental Health Counselor
- Holland, MI
National Provider Identifier
1881073724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6401014792
- Practice address
- 2337 N Park Dr # 1001
Holland, MI 49424-8522 - Phone
- (239) 373-7999
- NPI assigned
- May 26, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6401014792 | MI | Primary |
Addresses
Primary practice location
2337 N Park Dr # 1001
Holland, MI 49424-8522
Mailing address
3236 Forum Blvd
#1109
Fort Myers, FL 33905
Phone (239) 373-7999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401014792 | MI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hellcat Counseling, PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Counseling Psychologist
- Saint Joseph, MI
- NPI 1427500594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736726400000",
"number": "1881073724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3236 FORUM BLVD",
"address_2": "#1109",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "33905",
"telephone_number": "239-373-7999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2337 N PARK DR # 1001",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494248522",
"telephone_number": "239-373-7999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVERY-WILLIAMS",
"first_name": "JENNIFER",
"middle_name": "RENAE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-26",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6401014792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.