TINA WILLIAMS (LIMHP, LMHP, LPC) – Addiction (Substance Use Disorder) Counselor, NPI 1174753750

TINA WILLIAMS (LIMHP, LMHP, LPC) is a healthcare provider. based in Wausa, Nebraska. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LIMHP, LMHP, LPC. They hold a License No. 1063 (NE). The NPI Number for TINA WILLIAMS (LIMHP, LMHP, LPC) is 1174753750

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
TINA WILLIAMS (LIMHP, LMHP, LPC)
NPI
1174753750
Phone
(402) 358-2047
Address
504 S BISMARK ST
Enumeration Date
17 July 2009
Last Update Date
16 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4025006870
Graduation Year
2005 (21 years ago)
PAC ID
9436685856
Group Practice PAC ID
1355796343
Professional Enrollment ID
I20241209003998
Address ID
NE687394681HA104XXAVEX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:16State licenses:4Digital endpointsOther names

843 MENTAL HEALTH COUNSELOR in NE

Provider Addresses for TINA WILLIAMS (LIMHP, LMHP, LPC)

  • 504 S BISMARK ST

    WAUSA, NE 687862029

    Phone: (402) 358-2047

    Type: Mailing

  • 2621, 5th Avenue, Scottsbluff, Scotts Bluff County, Nebraska, 69361, United States

    SUITE 4

    SCOTTSBLUFF, NE 693611745

    Phone: (308) 765-1386

    Type: Mailing

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: 2024-12-09

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
I20241209003998IMental Health CounselorNETBD

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 68786)

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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: 1355796343View full group profile
NameSpecialtyState
Mental Health CounselorNE
Mental Health CounselorNE
Mental Health CounselorNE
Mental Health CounselorNE
Mental Health CounselorNE
Mental Health CounselorNE
Mental Health CounselorNE
Mental Health CounselorNE
Mental Health CounselorNE
Mental Health CounselorNE

Reviews

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Frequently asked questions

What NPI should I save for TINA WILLIAMS (LIMHP, LMHP, LPC)?
Save NPI 1174753750 if you need a stable reference for TINA WILLIAMS (LIMHP, LMHP, LPC).
Is TINA WILLIAMS (LIMHP, LMHP, LPC)'s NPI currently valid?
The extract we use shows TINA WILLIAMS (LIMHP, LMHP, LPC) as active.
What kind of provider is TINA WILLIAMS (LIMHP, LMHP, LPC)?
The page reflects Addiction (Substance Use Disorder) Counselor for TINA WILLIAMS (LIMHP, LMHP, LPC). Clinical services aligned with this taxonomy classification.
What location shows for TINA WILLIAMS (LIMHP, LMHP, LPC)?
We surface Wausa, Nebraska for TINA WILLIAMS (LIMHP, LMHP, LPC) based on available NPPES addresses.
What if Wausa, Nebraska seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.