Randal Williams, MA

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Barre, MA

NPI 1043797376 · NPPES record last updated Jul 23, 2018

Key facts

NPI
1043797376
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
151 Worcester Rd
Barre, MA 01005
Phone
(978) 355-9222
NPI assigned
Jul 19, 2018
Sex
Male
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Behavioral Health Network Inc (146 clinicians)

Practice addresses (Care Compare)

417 Liberty St
Springfield, MA 01104-3736
Phone (413) 736-3668

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20231228003116 MA Practitioner - Mental Health Counselor 4385094671 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Arts, Master of Science - Law

Practice roles

OrganizationSpecialtyStatusNew patients
R.L.Williams PSYD, PLLC Current Accepting new patients
Behavioral Health Network, Inc Current
since Jan 1, 2024
Accepting new patients
Behavioral Health Network Inc Current
since Jan 1, 2024
Accepting new patients

Locations

40 Bobala Rd
Holyoke, MA 01040
Phone (413) 536-5473

417 Liberty St
Springfield, MA 01104
Phone (413) 733-6661

77 Mill St
Westfield, MA 01085
Phone (413) 568-6141

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

151 Worcester Rd
Barre, MA 01005

Mailing address

151 Worcester Rd
Barre, MA 01005-9002
Phone (978) 355-9222

Other providers in Barre, MA

All providers in Barre, MA · Student in an Organized Health Care Education/Training Program in Massachusetts

Sources for this page

Verify at the official NPI Registry.