Lee T Willis, MA LPC RN

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

License

9496 Issued in TX

Practice address

401 Branard St
Houston, TX 77006-5015

Phone

(713) 529-0037

Fax

(713) 526-4367

NPI assigned

Sep 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Lee T Terry Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Registered Nurse

State licenses

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236038400000",
    "number": "1083717698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 BRANARD ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770065015",
            "telephone_number": "713-529-0037",
            "fax_number": "713-526-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BRANARD ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770065015",
            "telephone_number": "713-529-0037",
            "fax_number": "713-526-4367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "LEE",
        "middle_name": "T",
        "credential": "MA LPC RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2009-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "TX",
            "license": "9496",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "421862",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "82228L",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "095412501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEE",
            "last_name": "TERRY",
            "middle_name": "T",
            "credential": "MA LPC RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Janice Lorraine Willis, RN, FNP-BC
• Jarvis Willis
• Jason Willis, M.D., PH.D.
• Kim Willis, LCSW
• Kristen Willis
• Lindsey Kay Willis, PTA
• Lynda Jill Willis, PTA
• Mary Willis, PHARMD
• Matthew Willis
• Ramona Michelle Willis, LOTA

• Pastoral Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Pastoral Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.