JESSI LIN ANTLE-WILLIAMS LPC-23028
NPI 1427729862
Counselor - Professional in Tucson, AZ

Q: What is Jessi Antle-williams's NPI number?

The NPI number for Jessi Antle-williams is 1427729862. It was assigned to this individual provider in the NPPES registry on September 24, 2021.

Q: What is Jessi Antle-williams's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since September 24, 2021PECOS Enrolled

899 N WILMOT RD STE B, TUCSON, AZ 85711(520) 290-1100 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 14, 2024, Sep 24, 2021 (2 updates tracked since 2021).

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About Jessi Lin Antle-williams Lpc-23028 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSI LIN ANTLE-WILLIAMS LPC-23028 (NPI 1427729862) is an individual professional provider in Tucson, Arizona, licensed in Arizona (LPC-23028) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427729862

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameJESSI LIN ANTLE-WILLIAMSCredential: LPC-23028

Location Address899 N WILMOT RD STE BTucson, AZ 85711-1712

Mailing Address899 N Wilmot Rd Ste BTucson, AZ 85711-1712 · (520) 290-1100

Phone(520) 290-1100

Sole ProprietorNo

Enumeration DateSeptember 24, 2021

Last NPPES UpdateJune 14, 20242 updates tracked since enumeration

NPPES CertifiedJune 14, 2024

✔ NPI 1427729862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in AZ · LPC-23028

899 N WILMOT RD STE B, Tucson, AZ 85711

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Oscar Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessi Lin Antle-williams Lpc-23028 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jessi Antle-williams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Marana Health Center Inc

Same address

Federally Qualified Health Center (FQHC)

899 N WILMOT RD STE E
Tucson, AZ 85711

Reassigned Medicare billing, Arizona enrollment
169 clinicians in this Medicare group

NPI 1396512034 (520) 290-1100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE KOTELMAN DNP, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)