Individual provider Active NPI

Deidre Williams, LPC-S

  • Mental Health Counselor
  • McKinney, TX
National Provider Identifier
1154782456
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
69107 Issued in TX
Practice address
1650 W Virginia St Ste 208
McKinney, TX 75069-7703
Phone
(469) 634-2956
NPI assigned
Mar 14, 2016
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 69107 TX Primary

Addresses

Primary practice location

1650 W Virginia St Ste 208
McKinney, TX 75069-7703

Mailing address

1650 W Virginia St Ste 208
McKinney, TX 75069-7703
Phone (469) 634-2956

Other identifiers 1

IdentifierTypeStateIssuer
69107OtherTXLPC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 24, 2025 through Jul 24, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
69107TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Corecounselors Mental Health CurrentSince Nov 26, 2023 Accepting new patients

Locations

1650 W Virginia St
Ste 208
McKinney, TX 75069
Phone (469) 634-2956

Organizations & group practices 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1154782456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 W VIRGINIA ST STE 208",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750697703",
            "telephone_number": "469-634-2956",
            "fax_number": "214-617-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 W VIRGINIA ST STE 208",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750697703",
            "telephone_number": "469-634-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DEIDRE",
        "credential": "LPC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-14",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "69107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "69107",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.