Healthcare Provider Details

I. General information

NPI: 1376007344
Provider Name (Legal Business Name): JASMINE L. WILLIAMS LCPC, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2019
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7951 CALUMET AVE
MUNSTER IN
46321-1215
US

IV. Provider business mailing address

7951 CALUMET AVE # 1243
MUNSTER IN
46321-1215
US

V. Phone/Fax

Practice location:
  • Phone: 708-498-3454
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number39005651A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number180011822
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: