SALLY R WILLIAMS (LPC) – Mental Health Counselor, NPI 1780774976

SALLY R WILLIAMS (LPC) is a healthcare provider. based in Tahlequah, Oklahoma. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. 2186 (OK). The NPI Number for SALLY R WILLIAMS (LPC) is 1780774976

Main info

Female
47 Years Of Experience
Accepts Medicare Assignment
Name
SALLY R WILLIAMS (LPC)
NPI
1780774976
Phone
(918) 207-3000
Address
1400 HENSLEY DR
Enumeration Date
16 October 2006
Last Update Date
13 March 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9184583100
Graduation Year
1979 (47 years ago)
PAC ID
4587014337
Group Practice PAC ID
5799698742
Professional Enrollment ID
I20240206003193
Address ID
OK744642512TA100XXAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,199 MENTAL HEALTH COUNSELOR in OK

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Provider Addresses for SALLY R WILLIAMS (LPC)

  • 1400, Hensley Drive, Tahlequah, Cherokee County, Oklahoma, 74464, United States

    TAHLEQUAH, OK 744645264

    Phone: (918) 207-3000

    Fax: (918) 207-3064

    Type: Location

  • 2523, Larry Avenue, Tahlequah, Cherokee County, Oklahoma, 74464, United States

    TAHLEQUAH, OK 744645421

    Phone: (918) 931-8907

    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: 2024-02-06

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
I20240206003193IMental Health CounselorTXTBD

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 74464)

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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: 5799698742View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm SALLY R WILLIAMS (LPC)'s NPI?
Yes. SALLY R WILLIAMS (LPC) is listed with NPI 1780774976 in the public NPI dataset.
Can I rely on SALLY R WILLIAMS (LPC) being an active provider?
As of the registry snapshot, SALLY R WILLIAMS (LPC) is marked active.
What is SALLY R WILLIAMS (LPC)'s specialty?
The listing groups SALLY R WILLIAMS (LPC) with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What area does SALLY R WILLIAMS (LPC) serve?
SALLY R WILLIAMS (LPC)'s listing highlights Tahlequah, Oklahoma; more addresses can appear in NPPES.
Why does SALLY R WILLIAMS (LPC) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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