Willis Adolecant & Adult Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WILLIS ADOLECANT & ADULT SERVICES

Practice address

2030 Ashley Rd
Charlotte, NC 28208-3714

Phone

(704) 614-0042

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Sarah Willis

Title

Owner

Phone

(704) 614-0042

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1154448223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 IDLEWILD RD",
            "address_2": "STE. 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282120517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 ASHLEY RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282083714",
            "telephone_number": "704-614-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIS ADOLECANT & ADULT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-614-0042",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "351",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jazlynn Williford
• John K Williford Jr., MD
• Kaley Nicole Williford
• Patrick Scott Williford, PA-C
• Calandra Charnele Willingham, PTA
• Aleya Karenton Willis
• Danielle C Willis, LCSWA
• Jason Alexander Willis, PA
• Jazmine Alyssia Willis
• Katherine Willis

• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.