1. Home
  2. Directory
  3. Virginia
  4. Glen Allen
  5. Counselor
  6. NPI Profile

JACQUELINE ANN WILLIAMS LPC
NPI 1811599251
Counselor - Professional in Glen Allen, VA

Active since November 11, 2020PECOS EnrolledAccepts Medicare Assignment
12000 WYNDHAM LAKE DR STE B, GLEN ALLEN, VA 23059(804) 592-2793 Get Directions Write a Review

NPPES record last updated: November 11, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jacqueline Ann Williams Lpc NPPES

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

JACQUELINE ANN WILLIAMS LPC (NPI 1811599251) is an individual professional provider in Glen Allen, Virginia, licensed in Virginia (0701010044) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1811599251
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJACQUELINE ANN WILLIAMSCredential: LPC
Location Address12000 WYNDHAM LAKE DR STE BGlen Allen, VA 23059-7072
Mailing Address13910 Pagehurst TerMidlothian, VA 23113-6441 · (715) 505-1145
Phone(804) 592-2793
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 11, 2020
NPPES CertifiedNovember 3, 2020
✔ NPI 1811599251 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 VA · 0701010044
12000 WYNDHAM LAKE DR STE B, Glen Allen, VA 23059
Open in Google Maps ↗

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

Jacqueline Ann 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 ID5395286090
PECOS Enrollment IDI20240921000408
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 Jacqueline Williams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Light Counseling, Inc.
96 mi
Professional
1075 LIGHT BLVD
Forest, VA 24551
  • Reassigned Medicare billing, Virginia enrollment
  • 31 clinicians in this Medicare group
NPI 1154422764 (434) 384-1594

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 5

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

LAURA BETH OLLIFF MAPC
Counselor (Pastoral)
12000 WYNDHAM LAKE DR STE B
GLEN ALLEN, VA 23059
Hanover County (804) 592-2793
MRS. LAUREN WIGGINS ROWELL LPC
Counselor (Mental Health)
12000 WYNDHAM LAKE DR STE B
GLEN ALLEN, VA 23059
Hanover County (888) 808-6050
JESSICA HAUSER
Counselor (Mental Health)
12000 WYNDHAM LAKE DR STE B
GLEN ALLEN, VA 23059
Hanover County (804) 592-2793
MRS. AMELIA LEE DILLINGHAM LPC
Counselor (Professional)
12000 WYNDHAM LAKE DR STE B
GLEN ALLEN, VA 23059
Hanover County (804) 592-2793
MRS. MARILYN WEATHERLESS HEMBRICK LPC
Counselor (Professional)
12000 WYNDHAM LAKE DR STE B
GLEN ALLEN, VA 23059
Hanover County (804) 592-2793

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 Jacqueline Williams's NPI number?

The NPI number for Jacqueline Williams is 1811599251. It was assigned to this individual provider in the NPPES registry on November 11, 2020.

Where is Jacqueline Williams located?

Jacqueline Williams practices at 12000 Wyndham Lake Dr Ste B, Glen Allen, VA 23059. The listed phone number is (804) 592-2793.

What is Jacqueline Williams's specialty?

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

Is Jacqueline Williams enrolled in Medicare?

Yes. Jacqueline 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 Jacqueline Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Williams reassigns Medicare benefits to Light Counseling, Inc. (Forest, VA). 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 Jacqueline Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacqueline Williams was last updated on November 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.