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MR. DAVID TIM WILLIAMS M.S.
NPI 1750803110
Counselor in Pocatello, ID

Active since July 07, 2017PECOS EnrolledAccepts Medicare Assignment
224 S. ARTHUR SUITE 2, POCATELLO, ID 83204(208) 242-3771(208) 242-3772 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Jul 7, 2017 (2 updates tracked since 2017).

About Mr. David Tim Williams M.s. NPPES

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

MR. DAVID TIM WILLIAMS M.S. (NPI 1750803110) is an individual counselor in Pocatello, Idaho, licensed in Idaho (COUI-6369) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1750803110
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. DAVID TIM WILLIAMSCredential: M.S.
Location Address224 S. ARTHUR SUITE 2Pocatello, ID 83204
Mailing Address224 S Arthur Ave Ste 2Pocatello, ID 83204-3202 · (208) 242-3771 · Fax (208) 242-3772
Phone(208) 242-3771
Fax(208) 242-3772
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJuly 7, 2017
Last NPPES UpdateJanuary 9, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2024
✔ NPI 1750803110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in ID · COUI-6369
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LCPC-8678 (ID)
224 S. ARTHUR SUITE 2, Pocatello, ID 83204
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, Moda Health Plan, Inc., Molina Healthcare and more.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

Mr. David Tim Williams M.s. 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 ID2567814452
PECOS Enrollment IDI20240116003575, I20240122004549
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 David Williams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

High Country Behavioral Health
48 mi
Recovery Care
1248 E 17TH ST
Idaho Falls, ID 83404
  • Reassigned Medicare billing, Idaho and Wyoming enrollments
  • Also billed through NPI 1396578902 (Wyoming)
  • 34 clinicians in this Medicare group
NPI 1790602613 (208) 542-1026

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 David Williams's NPI number?

The NPI number for David Williams is 1750803110. It was assigned to this individual provider in the NPPES registry on July 7, 2017.

Where is David Williams located?

David Williams practices at 224 S. Arthur Suite 2, Pocatello, ID 83204. The listed phone number is (208) 242-3771.

What is David Williams's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is David Williams enrolled in Medicare?

Yes. David 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 David Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Williams reassigns Medicare benefits to High Country Behavioral Health (Idaho Falls, ID). 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 David Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Williams accept?

Health plans from Blue Cross Blue Shield of Wyoming, Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans and Select Health and 1 other insurer list David 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 David Williams was last updated on January 9, 2024. 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.