Mary Elizabeth Betty McWillie, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

527 Issued in TN

Practice address

3661 Charleswood Ave
Memphis, TN 38122-4602

Phone

(901) 324-2705

NPI assigned

Jan 14, 2021

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

Electronic endpoints 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1104415041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3661 CHARLESWOOD AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381224602",
            "telephone_number": "901-324-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 CHARLESWOOD AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381224602",
            "telephone_number": "901-324-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCWILLIE",
        "first_name": "MARY ELIZABETH",
        "middle_name": "BETTY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TN",
            "license": "527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNSELING",
            "identifier": "527",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNSELING  PERSONAL AND CAREER",
            "identifier": "527",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Memphis",
            "affiliation": "N",
            "endpointDescription": "counseling",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "counseling",
            "address_1": "3661 Charleswood Ave",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381224602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Memphis",
            "affiliation": "N",
            "endpointDescription": "couinseling",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Memphis",
            "address_1": "3661 Charleswood Ave",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381224602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Memphis",
            "affiliation": "N",
            "endpointDescription": "counseling",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "counseling",
            "address_1": "3661 Charleswood Ave",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381224602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Memphis",
            "affiliation": "N",
            "endpointDescription": "counseling",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Memphis",
            "address_1": "3661 Charleswood Ave",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381224602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Memphis",
            "affiliation": "N",
            "endpointDescription": "counseling",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Memphis",
            "address_1": "3661 Charleswood Ave",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381224602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Dawn Meadow, M.S., LPC
• Abbie Meadows, CRNA

• Counselor in Memphis, TN
• Providers in Memphis, TN by specialty
• Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.