DEVIN RAY WILLIAMS (B.S.) – Professional Counselor, NPI 1174936603

DEVIN RAY WILLIAMS (B.S.) is a healthcare provider. based in Guthrie, Oklahoma. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials B.S.. They hold a License No. LPC07278 (OK). The NPI Number for DEVIN RAY WILLIAMS (B.S.) is 1174936603

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
DEVIN RAY WILLIAMS (B.S.)
NPI
1174936603
Phone
(405) 269-3865
Address
611 N WENTZ ST
Enumeration Date
2 June 2014
Last Update Date
30 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9189321117
Graduation Year
2016 (10 years ago)
PAC ID
3072044403
Group Practice PAC ID
3173877362
Professional Enrollment ID
I20241009001133
Address ID
OK741374265TU2488XSTXX402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,199 MENTAL HEALTH COUNSELOR in OK

Provider Addresses for DEVIN RAY WILLIAMS (B.S.)

  • 611 N WENTZ ST

    GUTHRIE, OK 730443232

    Phone: (405) 269-3865

    Type: Mailing

  • 4900 W 71ST ST

    TULSA, OK 741313459

    Phone: (918) 934-4010

    Type: Mailing

  • 4900 W OAK LEAF DR

    TULSA, OK 74131

    Phone: (189) 344-0109

    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: 2024-10-09

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
I20241009001133IMental Health CounselorOKTBD

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 73044)

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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: 3173877362View full group profile
NameSpecialtyState
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Clinical Social WorkerOK
Mental Health CounselorOK
Clinical Social WorkerOK
Mental Health CounselorOK
Mental Health CounselorOK
Nurse PractitionerOK
Clinical Social WorkerOK

Reviews

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Frequently asked questions

How do I look up DEVIN RAY WILLIAMS (B.S.) by NPI?
Use NPI 1174936603 when you need to reference DEVIN RAY WILLIAMS (B.S.) in forms, claims, or directories.
Is DEVIN RAY WILLIAMS (B.S.) active in the national directory?
DEVIN RAY WILLIAMS (B.S.)'s public NPI profile is in an active state.
What field does DEVIN RAY WILLIAMS (B.S.) work in?
You can think of DEVIN RAY WILLIAMS (B.S.) as practicing within Professional Counselor. Clinical services aligned with this taxonomy classification.
What location shows for DEVIN RAY WILLIAMS (B.S.)?
We surface Guthrie, Oklahoma for DEVIN RAY WILLIAMS (B.S.) based on available NPPES addresses.
Is DEVIN RAY WILLIAMS (B.S.) a real provider?
This page reflects official NPPES data for NPI 1174936603. Always confirm identity and privileges with the practice and licensing boards.

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