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Willie Bernard Williams , LPC

Counselor - Professional β€’ Bryan, TX

Active NPI 1134402068 Individual Practitioner Male Practitioner
Practice location in NPPES

1733 Briarcrest Dr Ste 205
Bryan, TX 778022755

Call 8175543706 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1733 Briarcrest Dr Ste 205

Bryan, TX 778022755

Telephone 8175543706
Fax 8175543704
Organization at the Same NPPES Address or Phone
Family Foundation Services Llc Facility NPI 1932665593

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bryan and Texas

80 active clinicians are listed under Counselor - Professional with a practice address in Bryan, TX (20,742 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bryan

0% of these 80 clinicians have the CMS telehealth indicator.

7.5% of these 80 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-11-07
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES TX 65694
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
2880254 (TX)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location April 10, 2023

Registered at 1733 BRIARCREST DR STE 205, BRYAN, TX 778022755 (Tel: 8175543706)

πŸ“
Updated Business Mailing Address April 10, 2023

Registered at PO BOX 5122, BRYAN, TX 778055122 (Tel: 8175543706)

πŸ“
Updated Practice Location October 20, 2021

Registered at 1400 BECK STREET, BRYAN, TX 77803 (Tel: 8175543706)

πŸ“
Updated Business Mailing Address October 20, 2021

Registered at P.O. BOX 1556, BRYAN, TX 778061556 (Tel: 8175543706)

βœ…
NPI Profile Active September 27, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 27, 2011

Registered at 8500 STEMMONS FWY, 4025, DALLAS, TX 752473832 (Tel: 2149517944)

πŸ“
Business Mailing Address (Initial Record) September 27, 2011

Registered at 8500 STEMMONS FWY, 4025, DALLAS, TX 752473832 (Tel: 2149517944)

πŸ‘€
Provider Name / Credentials (Initial Record) September 27, 2011

Recorded as WILLIE WILLIAMS, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2011

Counselor (license number reported to NPPES: TX 65694)

🟒
Initial NPI Registration & Enumeration September 27, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1134402068
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2011
Last Update: November 07, 2023
Sole Proprietor: Yes

Mailing Address

Po Box 5122

Bryan, TX 778055122

Phone: 8175543706

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.