Devin Ray Williams, B.S.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC07278 Issued in OK

Practice address

4900 W Oak Leaf Dr
Tulsa, OK 74131

Phone

(189) 344-0109

NPI assigned

Jun 2, 2014

Last updated

Sep 30, 2024By the provider in NPPES

Sex

Male

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

Enrolled in OK

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

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Homecare Advisors LLCGroup PAC ID 3173877362, 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

Practice roles

Locations

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.

• Homecare Advisors LLC

  dba Pinnacle Care

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Durant, OK
  • NPI 1689152894
  Medicare reassignment Care Compare group NPD
• Nurtured in Natural Environments Ranch, LLC

  dba 9Ranch

  • Adolescent and Children Mental Health Clinic/Center
  • Tulsa, OK
  • NPI 1699534719
  Medicare reassignment NPD
• Pavilion Behavioral Health LLC

  • Geriatric Psychiatry Physician
  • Vian, OK
  • NPI 1992539472
  Medicare reassignment

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1174936603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 W 71ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741313459",
            "telephone_number": "918-934-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 W OAK LEAF DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74131",
            "telephone_number": "189-344-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DEVIN",
        "middle_name": "RAY",
        "credential": "B.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-02",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "LPC07278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dale Kenyon Williams III, D.O.
• Damien Williams
• Danielle Lavonne Opal Williams, BSN, RN
• David Carl Williams
• Deshana Rachelle Williams, CNA
• Dreyson Williams
• Edmond Williams Jr.
• Elizabeth Williams
• Ellen Marie Williams, COTAL
• Elwood Fray Williams III, M.D.

• Professional Counselor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.