KEITH LEE WILLIAMS PH.D.
NPI 1174716005
Psychologist - Clinical in Boise, ID

Q: What is Keith Williams's NPI number?

The NPI number for Keith Williams is 1174716005. It was assigned to this individual provider in the NPPES registry on August 23, 2007.

Q: What is Keith Williams's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Keith Williams was last updated on August 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since August 23, 2007PECOS EnrolledAccepts Medicare Assignment

3771 N EAGLE RD, BOISE, ID 83713(208) 939-9917(888) 505-3331 Get Directions Write a Review

NPPES record last updated: August 28, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Keith Lee Williams Ph.d. NPPES

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

KEITH LEE WILLIAMS PH.D. (NPI 1174716005) is an individual clinical provider in Boise, Idaho, licensed in Idaho (PSY-202563) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1174716005

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameKEITH LEE WILLIAMSCredential: PH.D.

Location Address3771 N EAGLE RDBoise, ID 83713-5005

Mailing Address3771 N Eagle RdBoise, ID 83713-5005 · (208) 939-9917 · Fax (888) 505-3331

Phone(208) 939-9917

Fax(888) 505-3331

Sole ProprietorYes

Medical School CMSOtherGraduated 2010

Enumeration DateAugust 23, 2007

Last NPPES UpdateAugust 28, 2014

✔ NPI 1174716005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in ID · PSY-202563

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

3771 N EAGLE RD, Boise, ID 83713

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Select Health.Insurance ›

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

Keith Lee Williams Ph.d. 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 ID6305093188

PECOS Enrollment IDI20120829000903

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

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

Williams Psychology Inc.

Same address

Clinical

3771 N EAGLE RD
Boise, ID 83713

Reassigned Medicare billing, Idaho enrollment

NPI 1982943478 (208) 375-6402

Mountain States Counseling & Psychological Services Plll

4.9 mi

Psychologist

311 ALLUMBAUGH ST
Boise, ID 83704

Reassigned Medicare billing, Idaho enrollment
3 clinicians in this Medicare group

NPI 1598959322 (208) 375-6402

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83713 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$160.17 typical visit price

range $52.44 – $160.17

Typical copayment $40.04 (range $13.11 – $40.04)

Most-billed visit code 99205

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

EAGLE HEALTH AND WELLNESS, INC

Family Medicine

3771 N EAGLE RD
BOISE, ID 83713

Ada County (208) 938-4040

WILLIAMS PSYCHOLOGY INC.

Psychologist (Clinical)

3771 N EAGLE RD
BOISE, ID 83713

Ada County (208) 375-6402

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 Keith Williams's NPI number?

The NPI number for Keith Williams is 1174716005. It was assigned to this individual provider in the NPPES registry on August 23, 2007.

Where is Keith Williams located?

Keith Williams practices at 3771 N Eagle Rd, Boise, ID 83713. The listed phone number is (208) 939-9917.

What is Keith Williams's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Keith Williams enrolled in Medicare?

Yes. Keith 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 Keith Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keith Williams reassigns Medicare benefits to 2 organizations: Williams Psychology Inc. (Boise, ID) and Mountain States Counseling & Psychological Services Plll (Boise, ID). 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 Keith Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keith Williams accept?

Health plans from PacificSource Health Plans and Select Health list Keith 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 Keith Williams was last updated on August 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.