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MICHEAL WILLIAMS JR. MA, CCC-SLP
NPI 1417302605
Speech-Language Pathologist in Encino, CA

Active since April 26, 2016Accepts Medicare Assignment
15928 VENTURA BLVD STE 218, ENCINO, CA 91436(818) 518-9709(747) 230-8320 Get Directions Write a Review

NPPES record last updated: January 15, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Micheal Williams Jr. Ma, Ccc-slp NPPES

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

MICHEAL WILLIAMS JR. MA, CCC-SLP (NPI 1417302605) is an individual speech-language pathologist provider in Encino, California, licensed in California (SP 21091) and active in the NPI registry since April 2016. He is a graduate of Other (2012).

NPPES Registry Identity

NPI1417302605
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameMICHEAL WILLIAMS JR.Credential: MA, CCC-SLP
Location Address15928 VENTURA BLVD STE 218Encino, CA 91436-4413
Mailing Address15928 Ventura Blvd Ste 218Encino, CA 91436-4413 · (818) 518-9709 · Fax (747) 230-8320
Phone(818) 518-9709
Fax(747) 230-8320
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 26, 2016
Last NPPES UpdateJanuary 15, 2021
NPPES CertifiedJanuary 15, 2021
✔ NPI 1417302605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in CA · SP 21091
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
15928 VENTURA BLVD STE 218, Encino, CA 91436
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Micheal Williams Jr. Ma, Ccc-slp 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 ID6507158862
PECOS Enrollment IDI20231025002076

Medicare Billing Reassignment

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

Williams Speech Therapy Services Inc.
1,213 mi
Speech-Language Pathologist
4800 FREDERICKSBURG RD STE 127
San Antonio, TX 78229
  • Reassigned Medicare billing, California and Texas enrollments
  • 4 clinicians in this Medicare group
NPI 1740637834 (818) 518-9709

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

Other Providers at the Same Location NPPES 8

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

JESSICA MIRELLA LOPEZ
Occupational Therapy Assistant
15928 VENTURA BLVD STE 218
ENCINO, CA 91436
Los Angeles County (818) 518-9709
REBECCA MOSKOWITZ OTR/L
Occupational Therapist
15928 VENTURA BLVD STE 218
ENCINO, CA 91436
Los Angeles County (818) 518-9709
STEPHEN WONG
Occupational Therapist
15928 VENTURA BLVD STE 218
ENCINO, CA 91436
Los Angeles County (818) 518-9709
KAILEE MCMASTER M.S. CF-SLP
Speech-Language Pathologist
15928 VENTURA BLVD STE 218
ENCINO, CA 91436
Los Angeles County (818) 518-9709
KAREN ELIZABETH BROWN MS, CCC-SLP
Speech-Language Pathologist
15928 VENTURA BLVD STE 218
ENCINO, CA 91436
Los Angeles County (818) 518-9709
PARAVEE PRAKONGSUP
Speech-Language Pathologist
15928 VENTURA BLVD STE 218
ENCINO, CA 91436
Los Angeles County (818) 518-9709
ANGELA CHUNG MS, OTR/L, CHT
Occupational Therapist
15928 VENTURA BLVD STE 218
ENCINO, CA 91436
Los Angeles County (818) 518-9709
ERIKA DATUIN WILLIAMS OTR/L
Occupational Therapist
15928 VENTURA BLVD STE 218
ENCINO, CA 91436
Los Angeles County (818) 518-9709

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 Micheal Williams's NPI number?

The NPI number for Micheal Williams is 1417302605. It was assigned to this individual provider in the NPPES registry on April 26, 2016.

Where is Micheal Williams located?

Micheal Williams practices at 15928 Ventura Blvd Ste 218, Encino, CA 91436. The listed phone number is (818) 518-9709.

What is Micheal Williams's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Micheal Williams enrolled in Medicare?

Yes. Micheal 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 organization bills Medicare for Micheal Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Micheal Williams reassigns Medicare benefits to Williams Speech Therapy Services Inc. (San Antonio, 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 Micheal Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Micheal Williams accept?

Health plans from Blue Cross and Blue Shield of Texas list Micheal 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 Micheal Williams was last updated on January 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.