Matthew M Williams

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P-0296 Issued in MS

Practice address

304 Enterprise Dr Ste a
Oxford, MS 38655-2762

Phone

(662) 638-3026

NPI assigned

Apr 10, 2019

Last updated

Aug 18, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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 MS

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• RH Arise Venture of Tupelo LLC

  • Psychiatry Physician
  • Tupelo, MS
  • NPI 1124776067
  Medicare reassignment NPD
• Oxford Mental Health Services, LLC

  dba Kaizen Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oxford, MS
  • NPI 1730976416
  NPD Authorized official
• Autism Center of North Mississippi, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Tupelo, MS
  • NPI 1952662157
  NPD (past)

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1538622147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 S THOMAS ST STE C",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015328",
            "telephone_number": "662-840-0974",
            "fax_number": "662-840-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 ENTERPRISE DR STE A",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386552762",
            "telephone_number": "662-638-3026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "146 S Thomas St Ste C",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388015328",
            "country_code": "US",
            "telephone_number": "662-840-0974",
            "fax_number": "662-840-0388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MATTHEW",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-10",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "P-0296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carisha Clinton Williams, M.S.
• Cindy Jeanne Williams, O.D.
• Douglas W Williams, ED.S., M.ED., B.M.E.
• Ernest Q Williams, MD
• Lillian P Williams, PA-C
• Melissa Williams
• Melissa Jo Williams
• Qwatetric Shae'Rra Williams, BSW,PCCSS
• Savannah Dawn Williams, CPSS
• Whitney Williams

• Mental Health Counselor in Oxford, MS
• Providers in Oxford, MS by specialty
• Mental Health Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.