CARMELLE SHENILLE WILLIAMS
NPI 1972381085
Counselor - Professional in San Antonio, TX

Active since September 19, 2023PECOS EnrolledAccepts Medicare Assignment
4211 GARDENDALE ST, SAN ANTONIO, TX 78229(210) 992-2715 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Carmelle Shenille Williams NPPES

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

CARMELLE SHENILLE WILLIAMS (NPI 1972381085) is an individual professional provider in San Antonio, Texas, licensed in Texas (88292) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1972381085
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCARMELLE SHENILLE WILLIAMS
Location Address4211 GARDENDALE STSan Antonio, TX 78229-3180
Mailing Address4103 Josephs RunConverse, TX 78109-3817 · (210) 763-8728
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 19, 2023
NPPES CertifiedSeptember 19, 2023
✔ NPI 1972381085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 88292
4211 GARDENDALE ST, San Antonio, TX 78229

Accepted 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

Carmelle Shenille 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 ID8921534280
PECOS Enrollment IDI20241210002018
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 Carmelle Williams reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Professional
12207 JACOBS POND
San Antonio, TX 78253
  • Reassigned Medicare billing, Texas enrollment
  • 7 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Texas enrollment
  • 1,573 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 6

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

Home Health
4211 GARDENDALE ST, SUITE 105A
SAN ANTONIO, TX 78229
Speech-Language Pathologist
4211 GARDENDALE ST, STE. A200
SAN ANTONIO, TX 78229
Speech-Language Pathologist
4211 GARDENDALE ST
SAN ANTONIO, TX 78229
Home Health
4211 GARDENDALE ST
SAN ANTONIO, TX 78229
Home Health
4211 GARDENDALE ST, SUITE 105A
SAN ANTONIO, TX 78229
Specialist/Technologist (Speech-Language Assistant)
4211 GARDENDALE ST
SAN ANTONIO, TX 78229

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 Carmelle Williams's NPI number?

The NPI number for Carmelle Williams is 1972381085. It was assigned to this individual provider in the NPPES registry on September 19, 2023.

Where is Carmelle Williams located?

Carmelle Williams practices at 4211 Gardendale St, San Antonio, TX 78229. The listed phone number is (210) 992-2715.

What is Carmelle Williams's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Carmelle Williams enrolled in Medicare?

Yes. Carmelle 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 organizations bill Medicare for Carmelle Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carmelle Williams reassigns Medicare benefits to 2 organizations: Vitality Life Counseling Of San Antonio LLC (San Antonio, TX) and Grow Healthcare Group PA (Miami, 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 Carmelle Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carmelle Williams accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare list Carmelle 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 Carmelle Williams was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.