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Active NPI 1962544130 Individual Practitioner Male Practitioner

Larry Adam Williamson , LCPC

Counselor - Professional • Jackson, WY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Larry Williamson, LCPC is a certified Counselor - Professional practicing in Jackson, WY. With approximately 20 years of clinical experience since completing medical education in 2006, Larry Williamson delivers high-quality medical care to the local community at 640 E BROADWAY AVE.

Larry Williamson is affiliated with Mental Health And Recovery Services Of Jackson Hole and accepts Medicare assignment.

Frequently performed procedures and clinical services include psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

640 E Broadway Ave

Jackson, WY 830011868

Telephone 3077332046
Fax 3077336289
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Jackson, WY

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
20 Yrs +0.9 yrs vs City Avg
City Avg: 19.1 Yrs
State Avg: 13.3 Yrs
Regional Practice Density
29 Specialists

Practicing in Jackson, WY (606 Statewide)

Telehealth Adoption Rate
13.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
39.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Williamson (20 Years) 20 Yrs
Jackson Specialty Average (19.1 Years) 19.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90791 Psychiatric diagnostic evaluation
13 13 $210.00 $126.21

Medical Specialties & State Licenses

CMS Verified: 2020-02-24
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

Definition to come...

Hospital & Practice Group Affiliations

Mental Health And Recovery Services Of Jackson Hole

640 E Broadway Ave, Jackson, WY 830018642

Phone: 3077332046

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

35 Associated Practitioners
Stephanie Capps , MSW, PCSW

Social Worker - Clinical

NPI 1033509807

Master of Social Work, PCSW

Tara Singh , LCSW

Social Worker - Clinical

NPI 1134791551

Licensed Clinical Social Worker

Judy Mooney , LPC

Counselor - Professional

NPI 1184766446

Licensed Professional Counselor

Kristin Johnsson

Counselor - Mental Health

NPI 1215326095
Kathryn Davis

Case Manager/Care Coordinator

NPI 1265822787
Sarah Kline , LPC

Counselor - Professional

NPI 1275678542

Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 28, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location April 28, 2009

Registered at 640 E BROADWAY AVE, JACKSON, WY 830011868 (Tel: 3077332046)

📍
Updated Business Mailing Address April 28, 2009

Registered at PO BOX 1868, JACKSON, WY 830011868 (Tel: 3077332046)

👤
Provider Name / Credentials Updated April 28, 2009

Recorded as LARRY WILLIAMSON, LCPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2009

Counselor

🟢
Initial NPI Registration & Enumeration February 13, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962544130
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2007
Last Update: February 24, 2020
Sole Proprietor: Yes

Mailing Address

Po Box 1868

Jackson, WY 830011868

Phone: 3077332046

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.