Deanin Savon Willsun, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC03827 Issued in MN

Practice address

1317 Meadow CT
Shakopee, MN 55379-4712

Phone

(612) 568-2357

NPI assigned

Jan 9, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Nexus Family Healing

  • Neurology Physician
  • Rochester, MN
  • NPI 1851905251
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  MN

  Medicare reassignment NPD

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1124535349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 MEADOW CT",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553794712",
            "telephone_number": "612-568-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 MEADOW CT",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553794712",
            "telephone_number": "612-568-2357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 County Road 10 # 204B",
            "address_purpose": "LOCATION",
            "city": "Brooklyn Center",
            "state": "MN",
            "postal_code": "554293072",
            "country_code": "US",
            "telephone_number": "763-354-8561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLSUN",
        "first_name": "DEANIN",
        "middle_name": "SAVON",
        "name_prefix": "Mrs.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-09",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC03827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Elizabeth Williams, DC
• Bruce Mosby Williams, D.D.S
• Danelle Williams, MSW LICSW
• Daniel Deforest Williams
• Kalee Williams, MA, LMFT
• Amy J Wilma, M.A.-CCC/SLP
• Jodi Lynn Winters, PAC
• Kristin A Witte, D.O.
• Cynthia Wittman
• Chantal Maria Jacoba Wohnoutka

• Mental Health Counselor in Shakopee, MN
• Providers in Shakopee, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.