Individual provider Active NPI

Chloe Willis

  • Mental Health Counselor
  • Chelsea, MA
National Provider Identifier
1063087211
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
70 Everett Ave # 8
Chelsea, MA 02150-2376
Phone
(617) 466-6650
NPI assigned
May 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

70 Everett Ave # 8
Chelsea, MA 02150-2376

Mailing address

70 Everett Ave Ste 515
Chelsea, MA 02150-2363

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Newhires@southbaycommunityservices.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SB Transitional Sub, LLC CurrentSince May 25, 2021 Accepting new patients
South Bay Mental Health Center, Inc. CurrentSince May 25, 2021 Accepting new patients

Locations

70 Everett Ave
Ste 515
Chelsea, MA 02150
Phone (617) 466-6650

Interoperability endpoints

  • Direct secure messaging: newhires@southbaycommunityservices.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1063087211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 EVERETT AVE STE 515",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021502363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 EVERETT AVE # 8",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021502376",
            "telephone_number": "617-466-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "CHLOE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Newhires@southbaycommunityservices.com",
            "affiliation": "N",
            "address_1": "70 Everett Ave # 8",
            "city": "Chelsea",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021502376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chelsea, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.