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AMBER DAWN WILLIAMS LCPC
NPI 1124712468
Counselor - Professional in Taylorville, IL

Active since June 08, 2023PECOS EnrolledAccepts Medicare Assignment
311 E PARK ST, TAYLORVILLE, IL 62568(217) 891-4905 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 11, 2023, Aug 8, 2023, Jun 8, 2023 (3 updates tracked since 2023).

About Amber Dawn Williams Lcpc NPPES

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

AMBER DAWN WILLIAMS LCPC (NPI 1124712468) is an individual professional provider in Taylorville, Illinois, licensed in Illinois (180013963) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1124712468
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMBER DAWN WILLIAMSCredential: LCPC
Location Address311 E PARK STTaylorville, IL 62568-1542
Mailing Address311 E Park StTaylorville, IL 62568-1542 · (217) 891-4905
Phone(217) 891-4905
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJune 8, 2023
Last NPPES UpdateDecember 11, 20233 updates tracked since enumeration
NPPES CertifiedDecember 11, 2023
✔ NPI 1124712468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180013963
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 180013963 (IL)
311 E PARK ST, Taylorville, IL 62568
Open in Google Maps ↗

Other Names 1

Other Name (5)Amber Dawn Miles

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amber Dawn Williams Lcpc 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 ID3375085160
PECOS Enrollment IDI20240607002390
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 Reassignments

2

Medicare enrollment records show Amber Williams reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Thriveworks Clinical - Illinois
183 mi
Mental Health
333 N MICHIGAN AVE STE 1810
Chicago, IL 60601
  • Reassigned Medicare billing, Illinois enrollment
  • 66 clinicians in this Medicare group
NPI 1164190633 (855) 284-7483
Brave Health Medical Group PA
1,084 mi
Community/Behavioral Health
1951 NW 7TH AVE FL 3
Miami, FL 33136
  • Reassigned Medicare billing, Illinois enrollment
  • 23 clinicians in this Medicare group
NPI 1225669161 (305) 902-6347

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 Amber Williams's NPI number?

The NPI number for Amber Williams is 1124712468. It was assigned to this individual provider in the NPPES registry on June 8, 2023. The provider is also known as Amber Dawn Miles.

Where is Amber Williams located?

Amber Williams practices at 311 E Park St, Taylorville, IL 62568. The listed phone number is (217) 891-4905.

What is Amber Williams's specialty?

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

Is Amber Williams enrolled in Medicare?

Yes. Amber 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.

Which organizations bill Medicare for Amber Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amber Williams reassigns Medicare benefits to 2 organizations: Thriveworks Clinical - Illinois (Chicago, IL) and Brave Health Medical Group PA (Miami, FL). Each 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 Amber Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amber Williams was last updated on December 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.