ANDREW WILLIAMS
NPI 1063875672
Counselor - Mental Health in Portland, OR

Q: What is Andrew Williams's NPI number?

The NPI number for Andrew Williams is 1063875672. It was assigned to this individual provider in the NPPES registry on March 31, 2016.

Q: What is Andrew Williams's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Williams was last updated on October 25, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 31, 2016PECOS Enrolled

3415 SE POWELL BLVD, PORTLAND, OR 97202(503) 494-8211 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 25, 2023, Mar 31, 2016 (2 updates tracked since 2016).

On this page

About Andrew Williams NPPES

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

ANDREW WILLIAMS (NPI 1063875672) is an individual mental health provider in Portland, Oregon and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063875672

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameANDREW WILLIAMS

Location Address3415 SE POWELL BLVDPortland, OR 97202-3371

Mailing Address3415 Se Powell BlvdPortland, OR 97202-3371 · (888) 295-6996

Phone(503) 494-8211

Sole ProprietorNo

Enumeration DateMarch 31, 2016

Last NPPES UpdateOctober 25, 20232 updates tracked since enumeration

NPPES CertifiedOctober 25, 2023

✔ NPI 1063875672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3415 SE POWELL BLVD, Portland, OR 97202

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Williams is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

KELLEY S. FELLMAN MD

Psychiatry & Neurology (Child & Adolescent Psychiatry)