KIP WILLIAMS PH.D., LMFT
NPI 1639506629
Marriage & Family Therapist in Portland, OR

Q: What is Kip Williams's NPI number?

The NPI number for Kip Williams is 1639506629. It was assigned to this individual provider in the NPPES registry on October 4, 2013.

Q: What is Kip Williams's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Kip Williams enrolled in Medicare?

No. Kip Williams has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kip Williams was last updated on October 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.

Active since October 04, 2013Opted out of Medicare · through Jan 1, 2028

1308 NW 20TH AVE., SUITE 11, PORTLAND, OR 97209(503) 922-6339 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 11, 2023, Jan 8, 2021, Sep 11, 2020 and 2 more (5 updates tracked since 2016).

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About Kip Williams Ph.d., Lmft NPPES

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

KIP WILLIAMS PH.D., LMFT (NPI 1639506629) is an individual marriage & family therapist in Portland, Oregon, licensed in Oregon (T1723) and active in the NPI registry since October 2013. He has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1639506629

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameKIP WILLIAMSCredential: PH.D., LMFT

Location Address1308 NW 20TH AVE., SUITE 11Portland, OR 97209

Mailing Address1308 Nw 20th Ave., Suite 11Portland, OR 97209 · (503) 922-6339

Phone(503) 922-6339

Sole ProprietorNo

Enumeration DateOctober 4, 2013

Last NPPES UpdateOctober 11, 20235 updates tracked since enumeration

NPPES CertifiedOctober 11, 2023

✔ NPI 1639506629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Licenses✔ Licensed in OR · T1723✔ Licensed in CA · 93170

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

1308 NW 20TH AVE., SUITE 11, Portland, OR 97209

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kip Williams Ph.d., Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

WITH THE FLOW PSYCHOTHERAPY, LLC

Clinic/Center (Adult Mental Health)

1308 NW 20TH AVE., SUITE 11
PORTLAND, OR 97209

Multnomah County (503) 922-6339

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 Kip Williams's NPI number?

The NPI number for Kip Williams is 1639506629. It was assigned to this individual provider in the NPPES registry on October 4, 2013.

Where is Kip Williams located?

Kip Williams practices at 1308 NW 20th Ave., Suite 11, Portland, OR 97209. The listed phone number is (503) 922-6339.

What is Kip Williams's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Kip Williams enrolled in Medicare?

No. Kip Williams has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kip Williams was last updated on October 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.