Rebecca Ann Williams, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

2016045129 Issued in MO

Practice address

413 Historic 66 W
Waynesville, MO 65583-2114

Phone

(573) 774-4198

Fax

(573) 774-4951

NPI assigned

Jan 23, 2017

Sex

Female

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 MO

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

May accept Medicare assignment

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Midwest Healing LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waynesville, MO
  • NPI 1770242869
  Medicare reassignment NPD Authorized official
• Benton Street Counseling LLC

  • Professional Counselor
  • Rolla, MO
  • NPI 1578053955
  NPD (past)
• Benton Street Counseling LLC

  • Mental Health Counselor
  • Waynesville, MO
  • NPI 1932597721
  NPD (past)

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1679010086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19952 SURF LN",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "655833460",
            "telephone_number": "402-419-6661",
            "fax_number": "573-774-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 HISTORIC 66 W",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "655832114",
            "telephone_number": "573-774-4198",
            "fax_number": "573-774-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-23",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2016045129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline S. Welborn, MA, PLPC, CSACII
• Amanda White, AUD
• Diane White, LPC
• Ashley Wildrick
• Malinda Williams
• Mary Wilson
• Sean Avery Wilson, LPC
• Wilwell Company
• Melissa Sue Winter, RPH
• Richelle Wisdom

• Counselor in Waynesville, MO
• Providers in Waynesville, MO by specialty
• Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.