Active NPI
Kandee Layne Willis, LPC
- Counselor
- Aurora, IL
National Provider Identifier
1114299443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 178.004162
- Practice address
- 1230 N Highland Ave
Aurora, IL 60506-1401 - Phone
- (630) 966-4336
- Fax
- (630) 859-2994
- NPI assigned
- Feb 2, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 178.004162 | IL | Primary |
Addresses
Primary practice location
1230 N Highland Ave
Aurora, IL 60506-1401
Mailing address
1230 N Highland Ave
Aurora, IL 60506-1401
Phone (630) 966-4336
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.004162 | IL | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kandee'S Intimacy & Sex Counseling & Therapy Services LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lombard, IL
- NPI 1346854478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328140800000",
"number": "1114299443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 N HIGHLAND AVE",
"city": "AURORA",
"state": "IL",
"postal_code": "605061401",
"telephone_number": "630-966-4336",
"fax_number": "630-859-2994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 N HIGHLAND AVE",
"city": "AURORA",
"state": "IL",
"postal_code": "605061401",
"telephone_number": "630-966-4336",
"fax_number": "630-859-2994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIS",
"first_name": "KANDEE",
"middle_name": "LAYNE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-02",
"last_updated": "2012-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "178.004162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.