Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amber Rene Williams

Individual provider Professional Counselor · NPI 1912425737

Amber Rene Williams is a Mental Health Counselor in Lake Elmo, Minnesota. Qualified in 2014, 12 years ago. Practices with Wild Tree Psychotherapy LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
12
Licensed in
MN
In the registry since
2017

Practice location Address checks out

11200 Stillwater Blvd N Ste 104A
Lake Elmo, MN 55042-8632
Phone: (651) 968-8883
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence CC01597 (MN)

Record details

NPI number1912425737
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 31, 2017
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025
Mailing address11200 Stillwater Blvd N Ste 104a, Lake Elmo, MN 55042-8632

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Wild Tree Psychotherapy Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lake Elmo