Active NPI
Larry Carl Willett, PHD LPC
- Marriage & Family Therapist
- Greensboro, NC
National Provider Identifier
1073605440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1002
- Practice address
- 600 Green Valley Rd
Suite 204
Greensboro, NC 27408-7722 - Phone
- (336) 292-1510
- Fax
- (336) 292-0679
- NPI assigned
- Sep 29, 2006
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1002 | NC | |
| Marriage & Family Therapist | 106H00000X | 1002 | NC | Primary |
Addresses
Primary practice location
600 Green Valley Rd
Suite 204
Greensboro, NC 27408-7722
Mailing address
600 Green Valley Rd
Suite 204
Greensboro, NC 27408-7722
Phone (336) 292-1510
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09347900 | Other | MAGELLA BEH HEALTH | |
| 6102901 | Medicaid | NC | |
| 87441 | Other | NC | BCBS |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1002 | NC | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Psychiatric Group, PA | Mental Health | Past | Accepting new patients |
| Moses Cone Affiliated Physicians, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Piedmont Senior Care
- Internal Medicine Physician
- Greensboro, NC
- NPI 1659673838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1073605440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 GREEN VALLEY RD",
"address_2": "SUITE 204",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274087722",
"telephone_number": "336-292-1510",
"fax_number": "336-292-0679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 GREEN VALLEY RD",
"address_2": "SUITE 204",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274087722",
"telephone_number": "336-292-1510",
"fax_number": "336-292-0679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLETT",
"first_name": "LARRY",
"middle_name": "CARL",
"credential": "PHD LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "1002",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "1002",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLA BEH HEALTH",
"identifier": "09347900",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6102901",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "87441",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
- Jennifer Reeves Willard, PA-C
- Kristen Willard, PHARMD
- Melissa Kegley Willeford, OT
- Willen Chiropractic Center
- Steve M Willen, DC
- William B Gross DDS of Greensboro LLC (Dental Care of Greensboro)
- William Bynum
- William E Dolan OD PA
- William W Truslow MD PLLC
- Williams Chiropractic and Decompression Center, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.