Individual provider Active NPI

River Williams, PHD

  • Intellectual & Developmental Disabilities Psychologist
  • Lincoln, NE
National Provider Identifier
1932889268
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X
License
1195 Issued in NE
Practice address
4435 O St Ste 211
Lincoln, NE 68510-1864
Phone
(402) 489-2218
Fax
(402) 489-3666
NPI assigned
Jul 21, 2023
Last updated
Aug 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 13435 NE
Intellectual & Developmental Disabilities Psychologist 103TM1800X 1195 NE Primary

Addresses

Primary practice location

4435 O St Ste 211
Lincoln, NE 68510-1864

Mailing address

4435 O St Ste 211
Lincoln, NE 68510-1864
Phone (402) 489-2218

Other names 1

  • Jodie Waits Other name

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
I20251013000232 NE Practitioner - Clinical Psychologist 5890282115 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marti Mental Health Services IncGroup PAC ID 0345546578, 2 clinicians

Practice addresses (Care Compare)

4435 O St
Suite 211
Lincoln, NE 68510-1864
Phone (402) 489-2218

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
13435NEMDMental Health Counselor
1195NEMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Riverstone Psychology, LLC Intellectual & Developmental Disabilities Current Accepting new patients
Marti Mental Health Services Inc. CurrentSince Aug 1, 2025 Accepting new patients

Organizations & group practices 2

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": "1689897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1932889268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4435 O ST STE 211",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101864",
            "telephone_number": "402-489-2218",
            "fax_number": "402-489-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 O ST STE 211",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101864",
            "telephone_number": "402-489-2218",
            "fax_number": "402-489-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "RIVER",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-21",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "13435",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NE",
            "license": "1195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODIE",
            "last_name": "WAITS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.