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MR. JACK CHRISTOPHER WILLIAMS MS, NCC
NPI 1457946675
Counselor - Mental Health in Chattanooga, TN

Active since March 09, 2021PECOS Enrolled
6055 SHALLOWFORD RD, CHATTANOOGA, TN 37421(423) 266-6751 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Jack Christopher Williams Ms, Ncc NPPES

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

MR. JACK CHRISTOPHER WILLIAMS MS, NCC (NPI 1457946675) is an individual mental health provider in Chattanooga, Tennessee, licensed in Tennessee (5242) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457946675
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JACK CHRISTOPHER WILLIAMSCredential: MS, NCC
Location Address6055 SHALLOWFORD RDChattanooga, TN 37421-1688
Mailing Address200 Tech Center DrKnoxville, TN 37912-2747 · (865) 637-9711
Phone(423) 266-6751
Sole ProprietorNo
Enumeration DateMarch 9, 2021
Last NPPES UpdateMay 30, 2024
NPPES CertifiedMay 30, 2024
✔ NPI 1457946675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in TN · 5242
Also ListedCounselorTaxonomy 101Y00000X
6055 SHALLOWFORD RD, Chattanooga, TN 37421
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jack Christopher Williams Ms, Ncc 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 Jack Williams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Helen Ross Mcnabb Center
95 mi
Mental Health (Including Community Mental Health Center)
205 W SPRINGDALE AVE
Knoxville, TN 37917
  • Reassigned Medicare billing, Tennessee enrollment
  • 134 clinicians in this Medicare group
NPI 1659330686 (865) 637-9711

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.

CHRISTOPHER WYATT
Peer Specialist
6055 SHALLOWFORD RD
CHATTANOOGA, TN 37421
Hamilton County (423) 266-6751
JOANNA DENA SWANSON R.N.
Registered Nurse (Psychiatric/Mental Health)
6055 SHALLOWFORD RD
CHATTANOOGA, TN 37421
Hamilton County (423) 266-6751
MR. NICHOLAS MANN
Counselor
6055 SHALLOWFORD RD
CHATTANOOGA, TN 37421
Hamilton County (423) 266-6751
TRINITY FISHER KECK
Case Manager/Care Coordinator
6055 SHALLOWFORD RD
CHATTANOOGA, TN 37421
Hamilton County (423) 266-6751
MISS SUMMER SIERRA GLENN
Specialist
6055 SHALLOWFORD RD
CHATTANOOGA, TN 37421
Hamilton County (423) 266-6751
FREDRICK ARNOLD
Student in an Organized Health Care Education/Training Program
6055 SHALLOWFORD RD
CHATTANOOGA, TN 37421
Hamilton County (423) 266-6751
ELIZABETH ANN MIYASHIRO M. ED
Counselor
6055 SHALLOWFORD RD
CHATTANOOGA, TN 37421
Hamilton County (865) 637-9711
VIRLENA SUE DYE
Case Manager/Care Coordinator
6055 SHALLOWFORD RD
CHATTANOOGA, TN 37421
Hamilton County (423) 266-6751

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Williams's NPI number?

The NPI number for Jack Williams is 1457946675. It was assigned to this individual provider in the NPPES registry on March 9, 2021.

Where is Jack Williams located?

Jack Williams practices at 6055 Shallowford Rd, Chattanooga, TN 37421. The listed phone number is (423) 266-6751.

What is Jack Williams's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jack Williams enrolled in Medicare?

Yes. Jack Williams is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jack Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Williams reassigns Medicare benefits to Helen Ross Mcnabb Center (Knoxville, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jack Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jack Williams accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Jack Williams as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jack Williams was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.