Active NPI
Willie Gulley
- Professional Counselor
- Little Rock, AR
National Provider Identifier
1134512577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P2506005
- Practice address
- 5918 Lee Ave
Little Rock, AR 72205-3326 - Phone
- (501) 663-2199
- NPI assigned
- Mar 10, 2015
- Last updated
- Jun 11, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | P2506005 | AR | Primary |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
5918 Lee Ave
Little Rock, AR 72205-3326
Mailing address
5918 Lee Ave
Little Rock, AR 72205-3326
Phone (501) 663-2199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P2506005 | AR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749600000000",
"number": "1134512577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5918 LEE AVE",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722053326",
"telephone_number": "501-663-2199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5918 LEE AVE",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722053326",
"telephone_number": "501-663-2199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULLEY",
"first_name": "WILLIE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-10",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P2506005",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.