Earline F Willcott, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

04780 Issued in TX

Practice address

1322 Space Park Dr
Suite C105
Houston, TX 77058

Phone

(281) 218-7346

Fax

(281) 286-3015

NPI assigned

Jul 7, 2005

Last updated

Dec 19, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1083612766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58482",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772588482",
            "telephone_number": "281-218-7346",
            "fax_number": "281-286-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 SPACE PARK DR",
            "address_2": "SUITE C105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77058",
            "telephone_number": "281-218-7346",
            "fax_number": "281-286-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLCOTT",
        "first_name": "EARLINE",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "04780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "S69504",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0052CY",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonia Ann Wilks, APN
• Will Up-Lyft LLC
• Amanda Carter Will, CRNA
• John Rivers Will, LCDC
• Robert Forrest Willard, PHD
• Caroline Willett
• Sandra R. Willett, LPC, LMFT
• Roger C Willette, M.D.
• Mitzi Anne Willhoite, CRNA
• William C Franklin MD PA

• Mental Health Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.