Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104267905 Individual Practitioner Female Practitioner

Jill Williams , LPCC

Counselor - Professional • Saint Cloud, MN

Professional Overview & Biography Verified Profile Summary

Jill Williams, LPCC is a registered healthcare professional specializing in Counselor - Professional in Saint Cloud, MN. Practice services are available at 110 6TH AVE S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

110 6th Ave S

Saint Cloud, MN 563015209

Telephone 3202535930
Fax 6519250057
Associated Practice Facility / Clinic
🏢 Village Family Service Center Facility NPI 1548430614

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Saint Cloud, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.7 Yrs
State Avg: 11.4 Yrs
Regional Practice Density
29 Specialists

Practicing in Saint Cloud, MN (2422 Statewide)

Telehealth Adoption Rate
10.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-10-31
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MN CC00565

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Joni Medenwald , MSW, LSW

Social Worker - Clinical

NPI 1003063751

Master of Social Work, Licensed Social Worker

Rachel Blumhardt

Counselor - Professional

NPI 1003146861
Kaitlin Doyle , LAPC

Counselor - Professional

NPI 1013689033
Kayla Corrigan , MFT

Marriage & Family Therapist

NPI 1013735760

Marriage and Family Therapist

Alex Gregory , LMFT

Marriage & Family Therapist

NPI 1023426020

Licensed Marriage and Family Therapist

NPI 1043934847

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
👤
Provider Name / Credentials Updated October 31, 2023

Recorded as JILL WILLIAMS, LPCC

NPI Profile Active August 30, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 30, 2017

Registered at 110 6TH AVE S, SAINT CLOUD, MN 563015209 (Tel: 3202535930)

📍
Updated Business Mailing Address August 30, 2017

Registered at 1201 25TH ST S, PO BOX 9859, FARGO, ND 581032311

👤
Provider Name / Credentials Updated August 30, 2017

Recorded as JILL THEISEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2017

Counselor (License #CC00565 in MN)

NPI Profile Active July 10, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 10, 2013

Registered at 4140 THIELMAN LN, SAINT CLOUD, MN 563017326 (Tel: 3202535930)

📍
Updated Business Mailing Address July 10, 2013

Registered at 1201 25TH ST S, PO BOX 9859, FARGO, ND 581032311

👤
Provider Name / Credentials Updated July 10, 2013

Recorded as JILL THEISEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2013

Counselor (License #CC00565 in MN)

🟢
Initial NPI Registration & Enumeration July 10, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104267905
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 10, 2013
Last Update: October 31, 2023
Sole Proprietor: No

Mailing Address

1201 25th St S, Po Box 9859

Fargo, ND 581032311

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.