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

Active since January 22, 2024PECOS EnrolledAccepts Medicare Assignment
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: October 25, 2026.

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

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
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

Secondary Practice Location 1

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jaquel Williams Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

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.

Medicare Billing Reassignment

Medicare enrollment records show Jaquel Williams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
250 CORPORATE CENTER CT
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 592 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.

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.

Nurse Practitioner (Psychiatric/Mental Health)
3633 WHEELER RD STE 365
AUGUSTA, GA 30909
Social Worker (Clinical)
3633 WHEELER RD STE 365
AUGUSTA, GA 30909
Counselor (Professional)
3633 WHEELER RD STE 365
AUGUSTA, GA 30909
Marriage & Family Therapist
3633 WHEELER RD STE 365
AUGUSTA, GA 30909
Counselor (Professional)
3633 WHEELER RD STE 365
AUGUSTA, GA 30909
Nurse Practitioner (Psychiatric/Mental Health)
3633 WHEELER RD STE 365
AUGUSTA, GA 30909
Psychiatry & Neurology (Psychiatry)
3633 WHEELER RD STE 365
AUGUSTA, GA 30909
Social Worker (Clinical)
3633 WHEELER RD STE 365
AUGUSTA, GA 30909

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 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.

Where is Jaquel Williams located?

Jaquel Williams practices at 3633 Wheeler Rd Ste 365, Augusta, GA 30909. The listed phone number is (706) 432-6866.

What is Jaquel Williams's specialty?

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

Is Jaquel Williams enrolled in Medicare?

Yes. Jaquel Williams is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jaquel Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaquel Williams reassigns Medicare benefits to Personal Recovery Network LLC (Stockbridge, GA). 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 Jaquel Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jaquel Williams accept?

Health plans from UnitedHealthcare list Jaquel 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 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 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.