BEVERLY ANN WILLIAMS
NPI 1720946700
Psychologist in Roanoke, TX

Active since January 09, 2026PECOS Enrolled
209 TRAVIS ST STE 102, ROANOKE, TX 76262(817) 437-4505 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 22, 2026, Mar 24, 2026, Jan 9, 2026 (3 updates tracked since 2026).

About Beverly Ann Williams NPPES

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

BEVERLY ANN WILLIAMS (NPI 1720946700) is an individual psychologist in Roanoke, Texas, licensed in Texas (40012) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1720946700
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameBEVERLY ANN WILLIAMS
Location Address209 TRAVIS ST STE 102Roanoke, TX 76262-8605
Mailing Address209 Travis St Ste 102Roanoke, TX 76262-8605 · (817) 437-4505
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateJanuary 9, 2026
Last NPPES UpdateApril 22, 20263 updates tracked since enumeration
NPPES CertifiedApril 22, 2026
✔ NPI 1720946700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in TX · 40012
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
209 TRAVIS ST STE 102, Roanoke, TX 76262

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beverly Ann Williams is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608359179
PECOS Enrollment IDI20260312002064
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 Beverly Williams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
209 TRAVIS ST, SUITE 102
Roanoke, TX 76262
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group

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 Beverly Williams's NPI number?

The NPI number for Beverly Williams is 1720946700. It was assigned to this individual provider in the NPPES registry on January 9, 2026.

Where is Beverly Williams located?

Beverly Williams practices at 209 Travis St Ste 102, Roanoke, TX 76262. The listed phone number is (817) 437-4505.

What is Beverly Williams's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Beverly Williams enrolled in Medicare?

Yes. Beverly Williams is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Beverly Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Beverly Williams reassigns Medicare benefits to Psychology Care Associates PLLC (Roanoke, 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 Beverly Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Beverly Williams accept?

Health plans from Blue Cross and Blue Shield of Texas list Beverly 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 Beverly Williams was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.