Individual provider Active NPI

Robert Louis Williams Jr., BEHAVORIAL HEALTH ST

  • Mental Health Counselor
  • Bay City, TX
National Provider Identifier
1215650098
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
93432 Issued in TX
Practice address
1700 Golden Ave
Bay City, TX 77414-3122
Phone
(979) 245-2008
Fax
(979) 316-4811
NPI assigned
Sep 26, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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 93432 TX Primary

Addresses

Primary practice location

1700 Golden Ave
Bay City, TX 77414-3122

Mailing address

101 Avenue F
North Bay City, TX 77414
Phone (979) 245-2008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20260120003545 TX Practitioner - Mental Health Counselor 8022595131 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Supportive Care LLCGroup PAC ID 7719126655, 67 clinicians

Practice addresses (Care Compare)

1201 Colonel Dr
Garland, TX 75043-1303
Phone (718) 298-4375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
93432TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Matagorda Episcopal Health Outreach Program CurrentSince Jan 1, 2026 Accepting new patients
Matagorda Episcopal Health Outreach Program CurrentSince Jan 1, 2026 Accepting new patients
Matagorda Episcopal Health Outreach Program PastSince Aug 25, 2019 Accepting new patients

Locations

1700 Golden Ave
Bay City, TX 77414

101 Avenue F N
Bay City, TX 77414

307 Green Ave
Ste A
Palacios, TX 77465
Phone 9792452008300

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1215650098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 AVENUE F",
            "city": "NORTH BAY CITY",
            "state": "TX",
            "postal_code": "77414",
            "telephone_number": "979-245-2008",
            "fax_number": "979-316-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 GOLDEN AVE",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774143122",
            "telephone_number": "979-245-2008",
            "fax_number": "979-316-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ROBERT",
        "middle_name": "LOUIS",
        "name_suffix": "Jr.",
        "credential": "BEHAVORIAL HEALTH ST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-26",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "93432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, TX

Sources for this page

Verify at the official NPI Registry.