JAQUEL WILLIAMS LPC
NPI 1780445189
Counselor - Professional in Augusta, GA

Q: What is Jaquel Williams's NPI number?

The NPI number for Jaquel Williams is 1780445189. It was assigned to this individual provider in the NPPES registry on January 22, 2024.

Q: What is Jaquel Williams's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jaquel Williams was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 22, 2024PECOS Enrolled

3633 WHEELER RD STE 365, AUGUSTA, GA 30909(706) 432-6866 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2026, May 6, 2026 (2 updates tracked since 2026).

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About Jaquel Williams Lpc NPPES

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

JAQUEL WILLIAMS LPC (NPI 1780445189) is an individual professional provider in Augusta, Georgia, licensed in Georgia (LPC016121) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Evans, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1780445189

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameJAQUEL WILLIAMSCredential: LPC

Location Address3633 WHEELER RD STE 365Augusta, GA 30909-6549

Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630

Phone(706) 432-6866

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJanuary 22, 2024

Last NPPES UpdateMay 27, 20262 updates tracked since enumeration

NPPES CertifiedMay 27, 2026

✔ NPI 1780445189 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 GA · LPC016121

3633 WHEELER RD STE 365, Augusta, GA 30909

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Secondary Practice Location 1

Location 1607 Ponder Place DrEvans, GA 30809-3186 · Phone (762) 224-3027 ext. 2230

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID3476024159

PECOS Enrollment IDI20260603002500

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.

Other Providers at the Same Location NPPES 19

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

BRIAN PATRICK ADAMS LCSW

Social Worker (Clinical)