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DIVINE WILLIAMS LMHC
NPI 1073266458
Counselor - Mental Health in New York, NY

Active since January 27, 2022PECOS EnrolledAccepts Medicare Assignment
65 BROADWAY STE 505, NEW YORK, NY 10006(914) 819-7126 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Divine Williams Lmhc NPPES

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

DIVINE WILLIAMS LMHC (NPI 1073266458) is an individual mental health provider in New York, New York, licensed in New York (011803-01) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1073266458
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDIVINE WILLIAMSCredential: LMHC
Location Address65 BROADWAY STE 505New York, NY 10006-2540
Mailing Address65 Broadway Ste 505New York, NY 10006-2540 · (914) 819-7126
Phone(914) 819-7126
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 27, 2022
NPPES CertifiedJanuary 26, 2022
✔ NPI 1073266458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 011803-01
65 BROADWAY STE 505, New York, NY 10006
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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

Divine Williams Lmhc 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 ID6608214127
PECOS Enrollment IDI20240403002202
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 5

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

MONICA MIA MALONE
Psychologist (Counseling)
65 BROADWAY STE 505
NEW YORK, NY 10006
New York County (212) 677-8550
MS. MARIA LETIZIA JACOBSON LMSW
Social Worker
65 BROADWAY STE 505
NEW YORK, NY 10006
New York County (212) 677-6550
JOHNNY MITTLEMAN SERRANO I
Counselor (Mental Health)
65 BROADWAY STE 505
NEW YORK, NY 10006
New York County (212) 677-8550
AMY BERMAN MA
Counselor (Mental Health)
65 BROADWAY STE 505
NEW YORK, NY 10006
New York County (212) 677-8550
MS. MIRIAM INES CASTRO LCSW
Social Worker (Clinical)
65 BROADWAY STE 505
NEW YORK, NY 10006
New York County (212) 677-8550

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 Divine Williams's NPI number?

The NPI number for Divine Williams is 1073266458. It was assigned to this individual provider in the NPPES registry on January 27, 2022.

Where is Divine Williams located?

Divine Williams practices at 65 Broadway Ste 505, New York, NY 10006. The listed phone number is (914) 819-7126.

What is Divine Williams's specialty?

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

Is Divine Williams enrolled in Medicare?

Yes. Divine Williams is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Divine Williams was last updated on January 27, 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.