AMANDA WILLIAMS (LPC) – Professional Counselor, NPI 1366055014

AMANDA WILLIAMS (LPC) is a healthcare provider. based in Jenks, Oklahoma. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. P2308016 (AR). The NPI Number for AMANDA WILLIAMS (LPC) is 1366055014

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA WILLIAMS (LPC)
NPI
1366055014
Phone
(405) 641-3923
Address
411 S 6TH ST
Enumeration Date
24 August 2020
Last Update Date
7 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5014926860
Graduation Year
2020 (6 years ago)
PAC ID
8628426632
Group Practice PAC ID
3274974654
Professional Enrollment ID
I20251021002295
Address ID
AR722075238LI1501XAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:5State licenses:1Digital endpointsOther names

1,199 MENTAL HEALTH COUNSELOR in OK

Provider Addresses for AMANDA WILLIAMS (LPC)

  • 411 S 6TH ST

    JENKS, OK 740374506

    Phone: (405) 641-3923

    Type: Mailing

  • 23 E ROSS AVE

    SAPULPA, OK 740666423

    Phone: (918) 227-2016

    Type: Location

  • 301 BUNKER HILL AVE

    WHITE HALL, AR 716022506

    Phone: (405) 641-3923

    Type: Mailing

  • 400 W CAPITOL AVE

    LITTLE ROCK, AR 722013436

    Phone: (405) 641-3923

    Type: Location

  • 125 WELLNESS WAY

    HOT SPRINGS, AR 719136478

    Phone: (501) 624-7111

    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: 2025-10-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20231229001813IMarriage And Family TherapistARTBD
I20251021002295IMental Health CounselorARTBD

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 74037)

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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: 3274974654View full group profile
NameSpecialtyState
Clinical Social WorkerAR
Clinical Social WorkerAR

Reviews

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Frequently asked questions

Does AMANDA WILLIAMS (LPC) have a public NPI I can cite?
Public records show AMANDA WILLIAMS (LPC) under NPI 1366055014.
Should I treat AMANDA WILLIAMS (LPC) as an active provider?
Patients and plans typically see AMANDA WILLIAMS (LPC) as active in the national extract.
Which specialty label fits AMANDA WILLIAMS (LPC)?
NPPES ties AMANDA WILLIAMS (LPC) to Professional Counselor in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to AMANDA WILLIAMS (LPC)?
The directory associates AMANDA WILLIAMS (LPC) with Jenks, Oklahoma. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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