AMBER DAWN WILLIAMS (LCPC) – Professional Counselor, NPI 1124712468

AMBER DAWN WILLIAMS (LCPC) is a healthcare provider. based in Taylorville, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LCPC. They hold a License No. 180013963 (IL). The NPI Number for AMBER DAWN WILLIAMS (LCPC) is 1124712468

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
AMBER DAWN WILLIAMS (LCPC)
NPI
1124712468
Phone
(217) 891-4905
Address
311 E PARK ST
Enumeration Date
8 June 2023
Last Update Date
11 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3059026347
Graduation Year
2011 (15 years ago)
PAC ID
3375085160
Group Practice PAC ID
9537586052
Professional Enrollment ID
I20240607002390
Address ID
IL606044393CH332XXAVEX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

Provider Addresses for AMBER DAWN WILLIAMS (LCPC)

  • 311 E PARK ST

    TAYLORVILLE, IL 625681542

    Phone: (217) 891-4905

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240607002390IMental Health CounselorILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62568)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537586052View full group profile
NameSpecialtyState
Nurse PractitionerOH
Mental Health CounselorTX
Mental Health CounselorTX
Clinical Social WorkerOH
Clinical Social WorkerIL
Mental Health CounselorGA
Mental Health CounselorTX
Mental Health CounselorTX
Mental Health CounselorTX
Nurse PractitionerIL

Reviews

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Frequently asked questions

How do I look up AMBER DAWN WILLIAMS (LCPC) by NPI?
Use NPI 1124712468 when you need to reference AMBER DAWN WILLIAMS (LCPC) in forms, claims, or directories.
Is AMBER DAWN WILLIAMS (LCPC) active in the national directory?
AMBER DAWN WILLIAMS (LCPC)'s public NPI profile is in an active state.
What does AMBER DAWN WILLIAMS (LCPC) treat or focus on?
Patients typically see AMBER DAWN WILLIAMS (LCPC) under the specialty Professional Counselor. Clinical services aligned with this taxonomy classification.
Does AMBER DAWN WILLIAMS (LCPC) practice in Illinois?
You will see Taylorville, Illinois on file for AMBER DAWN WILLIAMS (LCPC) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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