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: November 01, 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show John Williams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional
4805 GREEN OAKS DR
River Oaks, TX 76114
  • Reassigned Medicare billing, Texas enrollment
  • 6 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for John Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Williams reassigns Medicare benefits to New Horizon Counseling Center, LLC (River Oaks, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 6 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.