Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeanine Williams, LCAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1528893534

Jeanine Williams, LCAC is a Mental Health Counselor in Lafayette, Indiana. Qualified in 2023, 3 years ago. Practices with Cleanslate Medical Group of Indiana LLC, a 61-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
3
Licensed in
IN
In the registry since
2024
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Practice location Address checks out

30 Professional Ct
Lafayette, IN 47905-5179
Phone: (765) 838-1218
Fax: (765) 838-1966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8448 E 100 N, Lafayette, IN 47905-8741 — (765) 491-1952

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 87001818A (IN)

Record details

NPI number1528893534
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCAC
Sole proprietorYes
NPI enumeratedSeptember 9, 2024
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address8448 E 100 N, Lafayette, IN 47905-8741

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Cleanslate Medical Group Of Indiana Llc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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