Deanne Williams, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-19987 Issued in AZ

Practice address

3740 E Southern Ave Ste 209
Mesa, AZ 85206-2512

Phone

(480) 553-7743

NPI assigned

Aug 1, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 17, 2026 through Feb 17, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Randi Gray Counseling

  • Professional Counselor
  • Mesa, AZ
  • NPI 1013571918
  NPD (past)

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1164104972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 E SOUTHERN AVE STE 209",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062512",
            "telephone_number": "480-553-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 E SOUTHERN AVE STE 209",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062512",
            "telephone_number": "480-553-7743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DEANNE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-19987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Williams, PHARMD.
• Christopher Keith Williams, MD
• Cody Williams, RBT
• Dara Lynn Williams, RN
• Dawn Lynn Williams, NURSE PRACTITIONER
• Demonte Williams, PRSS,CHW
• Evelyn Williams, CLINICAL DIRECTOR
• J. Ladd Williams, D.D.S.
• Jacquelyn Williams, MS SLPCF COMMUNICATI
• Jalen Williams

• Mental Health Counselor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.