KEVIN WILLIAMS
NPI 1710468244
Counselor - Mental Health in Portland, OR

Q: What is Kevin Williams's NPI number?

The NPI number for Kevin Williams is 1710468244. It was assigned to this individual provider in the NPPES registry on August 23, 2018.

Q: What is Kevin Williams's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kevin Williams was last updated on August 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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, 2018PECOS EnrolledAccepts Medicare Assignment

14600 NW CORNELL RD, PORTLAND, OR 97229(503) 645-3581 Get Directions Write a Review

NPPES record last updated: August 23, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Kevin Williams NPPES

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

KEVIN WILLIAMS (NPI 1710468244) is an individual mental health provider in Portland, Oregon and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1710468244

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameKEVIN WILLIAMS

Location Address14600 NW CORNELL RDPortland, OR 97229-5442

Mailing Address14600 Nw Cornell RdPortland, OR 97229-5442 · (503) 645-3581

Phone(503) 645-3581

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 23, 2018

✔ NPI 1710468244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

14600 NW CORNELL RD, Portland, OR 97229

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.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

Kevin Williams 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 ID345692471

PECOS Enrollment IDI20240115000046, I20240115000661

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 Reassignment

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

Beaverton Rehab & Specialty Care, LLC

4.0 mi

Skilled Nursing Facility

11850 SW ALLEN BLVD
Beaverton, OR 97005

Reassigned Medicare billing, Oregon and Washington enrollments
Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
Also billed through NPI 1184786527 (Washington)
3,207 clinicians in this Medicare group

NPI 1366469330 (503) 646-7164

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 20

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

MS. LUCRECIA FARIAS

Counselor (Mental Health)