MR. JOHN DAVID WILLIAMS M.S., L.P.C.
NPI 1053618488
Counselor - Professional in Fort Worth, TX

Active since February 21, 2011PECOS Enrolled
4500 WAYSIDE AVE, FORT WORTH, TX 76115(682) 241-3977 Get Directions Write a Review

NPPES record last updated: February 21, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. John David Williams M.s., L.p.c. NPPES

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

MR. JOHN DAVID WILLIAMS M.S., L.P.C. (NPI 1053618488) is an individual professional provider in Fort Worth, Texas, licensed in Texas (18733) and active in the NPI registry since February 2011. He is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1053618488
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. JOHN DAVID WILLIAMSCredential: M.S., L.P.C.
Location Address4500 WAYSIDE AVEFort Worth, TX 76115-2012
Mailing Address4500 Wayside AveFort Worth, TX 76115-2012
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateFebruary 21, 2011
NPI 1053618488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in TX · 18733
4500 WAYSIDE AVE, Fort Worth, TX 76115

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. John David Williams M.s., L.p.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264907831
PECOS Enrollment IDI20260410002877
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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Williams's NPI number?

The NPI number for John Williams is 1053618488. It was assigned to this individual provider in the NPPES registry on February 21, 2011.

Where is John Williams located?

John Williams practices at 4500 Wayside Ave, Fort Worth, TX 76115. The listed phone number is (682) 241-3977.

What is John Williams's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is John Williams enrolled in Medicare?

Yes. John Williams is registered in the Medicare PECOS enrollment system.

What insurance does John Williams accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 7 other insurers list John Williams as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Williams was last updated on February 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.