JESSICA K WILLIAMS (LPCC, LCADC) – Professional Counselor, NPI 1457004707

JESSICA K WILLIAMS (LPCC, LCADC) is a healthcare provider. based in Salyersville, Kentucky. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPCC, LCADC. They hold a License No. 271723 (KY). The NPI Number for JESSICA K WILLIAMS (LPCC, LCADC) is 1457004707

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA K WILLIAMS (LPCC, LCADC)
NPI
1457004707
Phone
(606) 349-8100
Address
842 E Mountain Pkwy
Enumeration Date
27 January 2022
Last Update Date
18 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6064871722
Graduation Year
2019 (7 years ago)
PAC ID
6406208701
Group Practice PAC ID
6608055272
Professional Enrollment ID
I20240123002128
Address ID
KY414722049WE430XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

862 MENTAL HEALTH COUNSELOR in KY

Provider Addresses for JESSICA K WILLIAMS (LPCC, LCADC)

  • 842 E Mountain Pkwy

    Salyersville, KY 414658378

    Phone: (606) 349-8100

    Fax: (606) 349-8150

    Type: Location

  • PO BOX 280

    PRESTONSBURG, KY 416530280

    Phone: (606) 626-7727

    Fax: (606) 886-2193

    Type: Mailing

  • 838 E MOUNTAIN PKWY

    SALYERSVILLE, KY 414658378

    Phone: (606) 349-7475

    Fax: (606) 349-7476

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240123002128IMental Health CounselorKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 41465)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608055272View full group profile
NameSpecialtyState
Nurse PractitionerKY
-MN
Family PracticeKY

Reviews

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Frequently asked questions

Can I verify JESSICA K WILLIAMS (LPCC, LCADC) with an NPI only?
You can start verification with NPI 1457004707 for JESSICA K WILLIAMS (LPCC, LCADC), then check state licensing separately.
Is JESSICA K WILLIAMS (LPCC, LCADC) still practicing?
JESSICA K WILLIAMS (LPCC, LCADC) is currently listed as active in the public NPI registry.
What is JESSICA K WILLIAMS (LPCC, LCADC)'s specialty?
The listing groups JESSICA K WILLIAMS (LPCC, LCADC) with Professional Counselor. Clinical services aligned with this taxonomy classification.
What address line appears for JESSICA K WILLIAMS (LPCC, LCADC)?
JESSICA K WILLIAMS (LPCC, LCADC)'s geographic hint is Salyersville, Kentucky in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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