Lara Jeanne Willing, B.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

15466 Los Gatos Blvd Ste 109-241
Los Gatos, CA 95032-2542

Phone

(408) 221-7610

NPI assigned

Sep 24, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Therapy for Every Body

  • Mental Health Counselor
  • Campbell, CA
  • NPI 1629729082
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1033545975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15466 LOS GATOS BLVD STE 109-241",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322542",
            "telephone_number": "408-221-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15466 LOS GATOS BLVD STE 109-241",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322542",
            "telephone_number": "408-221-7610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17855 Kiowa Trl",
            "address_purpose": "LOCATION",
            "city": "Los Gatos",
            "state": "CA",
            "postal_code": "950338818",
            "country_code": "US",
            "telephone_number": "408-221-7610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "197 E Hamilton Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Campbell",
            "state": "CA",
            "postal_code": "950080261",
            "country_code": "US",
            "telephone_number": "408-221-7610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLING",
        "first_name": "LARA",
        "middle_name": "JEANNE",
        "credential": "B.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-24",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.therapy4everybody.com",
            "affiliation": "N",
            "address_1": "15466 Los Gatos Blvd Ste 109-241",
            "city": "Los Gatos",
            "state": "CA",
            "country_code": "US",
            "postal_code": "950322542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Julie Williams, MFT
• Mandice Williams, D.C.
• Preston Landon Williams, PA-C
• Michael Williamson, RADT
• Hailey Williford, LCSW
• Willow Anxiety and Ocd
• Holly Madeleine Wilson, LMFT
• Lisa Wilson
• Monique Justine Wilson, MD
• Solomon Wilson

• Mental Health Counselor in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.