WILLIAM CHRISTOPHER WATSON (MA, LADC) – Mental Health Counselor, NPI 1861097354

WILLIAM CHRISTOPHER WATSON (MA, LADC) is a healthcare provider. based in Minneapolis, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MA, LADC. They hold a License No. 305436 (MN). The NPI Number for WILLIAM CHRISTOPHER WATSON (MA, LADC) is 1861097354

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM CHRISTOPHER WATSON (MA, LADC)
NPI
1861097354
Phone
(651) 380-6053
Address
2118 BLAISDELL AVE
Enumeration Date
2 December 2020
Last Update Date
14 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6519775001
Graduation Year
2020 (6 years ago)
PAC ID
7416486352
Group Practice PAC ID
6406752492
Professional Enrollment ID
I20250122002791
Address ID
MN550661733RE124XXSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for WILLIAM CHRISTOPHER WATSON (MA, LADC)

  • 2118 BLAISDELL AVE

    MINNEAPOLIS, MN 554042415

    Phone: (651) 380-6053

    Type: Location

  • 124 TYLER RD S

    RED WING, MN 550661733

    Phone: (651) 977-5001

    Fax: (651) 977-5002

    Type: Location

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: 2025-01-22

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
I20250122002791IMental Health CounselorMNTBD

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 55404)

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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: 6406752492View full group profile
NameSpecialtyState
-GA
Mental Health CounselorMN
Marriage And Family TherapistMN
Clinical PsychologistMN
Mental Health CounselorMN
Clinical PsychologistMN
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN
-MN

Reviews

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Frequently asked questions

What is the 10-digit NPI for WILLIAM CHRISTOPHER WATSON (MA, LADC)?
WILLIAM CHRISTOPHER WATSON (MA, LADC) — NPI 1861097354 — is the standard way to identify this listing.
Is WILLIAM CHRISTOPHER WATSON (MA, LADC) still practicing?
WILLIAM CHRISTOPHER WATSON (MA, LADC) is currently listed as active in the public NPI registry.
What healthcare role does WILLIAM CHRISTOPHER WATSON (MA, LADC) hold?
Scheduling teams often label WILLIAM CHRISTOPHER WATSON (MA, LADC) under Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What area does WILLIAM CHRISTOPHER WATSON (MA, LADC) serve?
WILLIAM CHRISTOPHER WATSON (MA, LADC)'s listing highlights Minneapolis, Minnesota; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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