TERRY JEROME WILLIAMS LAC
NPI 1003306853
Counselor in Texarkana, AR

Q: What is Terry Williams's NPI number?

The NPI number for Terry Williams is 1003306853. It was assigned to this individual provider in the NPPES registry on May 17, 2018.

Q: What is Terry Williams's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Terry Williams was last updated on May 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 17, 2018PECOS EnrolledAccepts Medicare Assignment

2904 ARKANSAS BLVD, TEXARKANA, AR 71854(870) 773-4655(870) 772-4650 Get Directions Write a Review

NPPES record last updated: May 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 23, 2022, May 17, 2018 (2 updates tracked since 2018).

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About Terry Jerome Williams Lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TERRY JEROME WILLIAMS LAC (NPI 1003306853) is an individual counselor in Texarkana, Arkansas, licensed in Arkansas (A2205005) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1003306853

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameTERRY JEROME WILLIAMSCredential: LAC

Location Address2904 ARKANSAS BLVDTexarkana, AR 71854-2536

Mailing Address2904 Arkansas BlvdTexarkana, AR 71854-2536 · (870) 773-4655 · Fax (870) 772-4650

Phone(870) 773-4655

Fax(870) 772-4650

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMay 17, 2018

Last NPPES UpdateMay 23, 20222 updates tracked since enumeration

NPPES CertifiedMay 23, 2022

✔ NPI 1003306853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in AR · A2205005

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

2904 ARKANSAS BLVD, Texarkana, AR 71854

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Terry Jerome Williams Lac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254869308

PECOS Enrollment IDI20250116003100

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUSTIN BAILEY NEWKIRK

Case Manager/Care Coordinator