Larry Adam Williamson, LCPC
NPI 1962544130ActiveIndividual· Counselor, Professional· Jackson, WY
Counselor, Professional (LCPC) with Mental Health and Recovery Services of Jackson Hole, practicing in Jackson, Wyoming. Medicare paid $5,169 for services to 17 patients in 2024.
Overview
| NPI | 1962544130 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCPC |
| Sole proprietor | Yes |
| NPI issued | Feb 13, 2007 |
| Last updated in NPPES | Feb 24, 2020 |
| Certified by provider | Feb 24, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (WY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 17 |
|---|---|
| Services billed | 62 across 7 procedure codes |
| Paid by Medicare | $5,169 |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Mental Health and Recovery Services of Jackson HoleJackson, WY · 10 clinicians
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