Zaneta Willis, LAPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

APC003228 Issued in GA

Practice address

3590 Covington Hwy
Decatur, GA 30032-1850

Phone

(404) 687-9188

NPI assigned

Jan 12, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Zaneta Penn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Garden Patch Counseling and Consulting LLC

  • Community/Behavioral Health Agency
  • Atlanta, GA
  • NPI 1487020384
  NPD (past) Authorized official

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1164792735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2972 HAPEVILLE RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303542008",
            "telephone_number": "478-320-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3590 COVINGTON HWY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321850",
            "telephone_number": "404-687-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "ZANETA",
        "credential": "LAPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC003228",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC003228",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZANETA",
            "last_name": "PENN",
            "credential": "MS, EDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kayla Channel Willis
• Laneatria Lynn Willis, CPHT, CHES
• Lynyetta G Willis, PHD
• Rachel Helen Willis, LPC
• Sheila G. Willis, MSW, LCSW
• Najala Wills-Espinosa
• Jacinta Wills, LPC
• Noah E Wills III, M.D.
• Donnamarie Wilson-McAulay, FNP-BC
• Aamirah Wilson

• Professional Counselor in Decatur, GA
• Providers in Decatur, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.

Verify at the official NPI Registry.