PETULA WILLIAMS LMHC
NPI 1770962383
Counselor - Mental Health in Bartow, FL

Active since May 28, 2015PECOS Enrolled
1239 E MAIN ST, BARTOW, FL 33830(863) 519-0575 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 18, 2024, Dec 5, 2019, Nov 18, 2019 and 1 more (4 updates tracked since 2019).

About Petula Williams Lmhc NPPES

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

PETULA WILLIAMS LMHC (NPI 1770962383) is an individual mental health provider in Bartow, Florida, licensed in Florida (MH23623) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770962383
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NamePETULA WILLIAMSCredential: LMHC
Location Address1239 E MAIN STBartow, FL 33830-5058
Mailing AddressPo Box 1559Bartow, FL 33831-1559 · (863) 519-0575 · Fax (863) 582-9251
Sole ProprietorNo
Enumeration DateMay 28, 2015
Last NPPES UpdateSeptember 18, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1770962383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH23623
1239 E MAIN ST, Bartow, FL 33830

Other Identifiers 1

Medicaid122153000FL

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)

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

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 Reassignments

2

Medicare enrollment records show Petula Williams reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
1239 E MAIN ST
Bartow, FL 33830
  • Reassigned Medicare billing, Florida enrollment
  • 53 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
11120 S CROWN WAY STE 1
Wellington, FL 33414
  • Reassigned Medicare billing, Florida enrollment
  • 194 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.

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.

Registered Nurse
1239 E MAIN ST
BARTOW, FL 33830
Case Manager/Care Coordinator
1239 E MAIN ST
BARTOW, FL 33830
Licensed Practical Nurse
1239 E MAIN ST
BARTOW, FL 33830
Case Manager/Care Coordinator
1239 E MAIN ST
BARTOW, FL 33830
Case Manager/Care Coordinator
1239 E MAIN ST
BARTOW, FL 33830
Community Health Worker
1239 E MAIN ST
BARTOW, FL 33830
Case Manager/Care Coordinator
1239 E MAIN ST
BARTOW, FL 33830
Case Manager/Care Coordinator
1239 E MAIN ST
BARTOW, FL 33830

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 Petula Williams's NPI number?

The NPI number for Petula Williams is 1770962383. It was assigned to this individual provider in the NPPES registry on May 28, 2015.

Where is Petula Williams located?

Petula Williams practices at 1239 E Main St, Bartow, FL 33830. The listed phone number is (863) 519-0575.

What is Petula Williams's specialty?

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

Is Petula Williams enrolled in Medicare?

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

Which organizations bill Medicare for Petula Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Petula Williams reassigns Medicare benefits to 2 organizations: Peace River Center For Personal Development Inc (Bartow, FL) and Cotler Healthcare & Development Inc. (Wellington, FL). Each 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 Petula Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Petula Williams accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare and Oscar Health Maintenance Organization of Florida list Petula 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 Petula Williams was last updated on September 18, 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.