Individual provider Active NPI

Tina Williams, LIMHP, LMHP, LPC

  • Mental Health Counselor
  • Wausa, NE
National Provider Identifier
1174753750
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
624 Issued in NE
Practice address
504 S Bismark St
Wausa, NE 68786-2029
Phone
(402) 358-2047
NPI assigned
Jul 17, 2009
Last updated
Dec 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1063 NE
Mental Health Counselor 101YM0800X 624 NE Primary
Mental Health Counselor 101YM0800X 3515 NE
Professional Counselor 101YP2500X 2050 NE

Addresses

Primary practice location

504 S Bismark St
Wausa, NE 68786-2029

Mailing address

504 S Bismark St
Wausa, NE 68786-2029
Phone (402) 358-2047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241209003998 NE Practitioner - Mental Health Counselor 9436685856 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cor Therapeutic Services, LLCGroup PAC ID 1355796343, 16 clinicians
Grand Island Mental Health LLCGroup PAC ID 1153734629, 7 clinicians

Practice addresses (Care Compare)

104 N Broadway Ave
Hartington, NE 68739-4681
Phone (402) 500-6870

2815 S Locust St
Grand Island, NE 68801-8861
Phone (308) 398-0350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1063NEMDPsychologist
3515NEMDPhysical Therapist
2050NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cor Therapeutic Services, LLC Mental Health CurrentSince Nov 15, 2024 Accepting new patients
Cor Therapeutic Services, LLC Mental Health CurrentSince Nov 15, 2024 Accepting new patients
Grand Island Mental Health LLC Mental Health CurrentSince Jan 1, 2026 Accepting new patients
Forward Thinking Counseling, LLC Mental Health Past Accepting new patients
Forward Thinking Counseling, LLC Addiction (Substance Use Disorder) Past Accepting new patients

Locations

2815 S Locust St
Grand Island, NE 68801
Phone (308) 350-0350

1203 S 8th St
Norfolk, NE 68701
Phone (402) 371-0220

1800 W Pasewalk Ave
Ste A
Norfolk, NE 68701
Phone (402) 369-2975

Organizations & group practices 5

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": "1247788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1174753750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 S BISMARK ST",
            "city": "WAUSA",
            "state": "NE",
            "postal_code": "687862029",
            "telephone_number": "402-358-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 S BISMARK ST",
            "city": "WAUSA",
            "state": "NE",
            "postal_code": "687862029",
            "telephone_number": "402-358-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TINA",
        "credential": "LIMHP, LMHP, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-17",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "1063",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "624",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3515",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "2050",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausa, NE

Sources for this page

Verify at the official NPI Registry.