JEANINE WILLIAMS LCAC
NPI 1528893534
Counselor - Addiction (Substance Use Disorder) in Lafayette, IN

Active since September 09, 2024PECOS Enrolled
30 PROFESSIONAL CT, LAFAYETTE, IN 47905(765) 838-1218(765) 838-1966 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 18, 2026, Apr 3, 2026, Sep 9, 2024 (3 updates tracked since 2024).

About Jeanine Williams Lcac NPPES

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

JEANINE WILLIAMS LCAC (NPI 1528893534) is an individual addiction (substance use disorder) provider in Lafayette, Indiana, licensed in Indiana (87001818A) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lafayette, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1528893534
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJEANINE WILLIAMSCredential: LCAC
Location Address30 PROFESSIONAL CTLafayette, IN 47905-5179
Mailing Address8448 E 100 NLafayette, IN 47905-8741 · (765) 491-1952
Fax(765) 838-1966
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 9, 2024
Last NPPES UpdateMay 18, 20263 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
✔ NPI 1528893534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in IN · 87001818A
30 PROFESSIONAL CT, Lafayette, IN 47905

Secondary Practice Location 1

Location 18448 E 100 NLafayette, IN 47905-8741 · Phone (765) 491-1952

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeanine Williams Lcac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880164565
PECOS Enrollment IDI20260522000729
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 Reassignments

3

Medicare enrollment records show Jeanine Williams reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community/Behavioral Health
1234 N COURTLAND AVE
Kokomo, IN 46901
  • Reassigned Medicare billing, Indiana enrollment
  • 19 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
1503 N MITTHOEFFER RD STE 150
Indianapolis, IN 46229
  • Reassigned Medicare billing, Indiana enrollment
  • 153 clinicians in this Medicare group
Addiction Medicine
101 N HARRISON ST
Alexandria, IN 46001
  • Reassigned Medicare billing, Indiana enrollment
  • 113 clinicians in this Medicare group

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

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 Jeanine Williams's NPI number?

The NPI number for Jeanine Williams is 1528893534. It was assigned to this individual provider in the NPPES registry on September 9, 2024.

Where is Jeanine Williams located?

Jeanine Williams practices at 30 Professional Ct, Lafayette, IN 47905. The listed phone number is (765) 838-1218.

What is Jeanine Williams's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Jeanine Williams enrolled in Medicare?

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

Which organizations bill Medicare for Jeanine Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeanine Williams reassigns Medicare benefits to 3 organizations: Turning Point Soc, Inc. (Kokomo, IN), Jane Pauley Community Health Center Inc (Indianapolis, IN) and Cleanslate Medical Group Of Indiana LLC (Alexandria, IN). Each 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 Jeanine Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeanine Williams accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Jeanine 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 Jeanine Williams was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.