Individual provider Active NPI

Vonda K Willis, LPCC

  • Professional Counselor
  • Cincinnati, OH
National Provider Identifier
1164933941
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.2606231 Issued in OH
Practice address
2135 Dana Ave Ste 220
Cincinnati, OH 45207-1342
Phone
(216) 468-5000
NPI assigned
Oct 19, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.2606231 OH Primary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 17000262 OH

Addresses

Primary practice location

2135 Dana Ave Ste 220
Cincinnati, OH 45207-1342

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630

Other practice location 1

7781 Cooper Rd Ste 2
Cincinnati, OH 45242-7728
Phone (513) 372-4600

Other practice location 2

8040 Hosbrook Rd Ste 102
Cincinnati, OH 45236-2908
Phone (216) 468-5000

Other practice location 3

3131 Harvey Ave
Cincinnati, OH 45229-3000
Phone (513) 585-8227

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

LicenseStateTypeSpecialty
17000262OHMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Youngblood Counseling and Consultation Services LLC Single Specialty Past Accepting new patients
University of Cincinnati Physicians Company, LLC Single Specialty Past Accepting new patients
University of Cincinnati Physicians Company LLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1164933941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N SCOTTSDALE RD STE 2500",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517630",
            "fax_number": "513-245-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 DANA AVE STE 220",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452071342",
            "telephone_number": "216-468-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7781 Cooper Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452427728",
            "country_code": "US",
            "telephone_number": "513-372-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8040 Hosbrook Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452362908",
            "country_code": "US",
            "telephone_number": "216-468-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3131 Harvey Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452293000",
            "country_code": "US",
            "telephone_number": "513-585-8227",
            "fax_number": "513-585-8278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "VONDA",
        "middle_name": "K",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-19",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2606231",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "OH",
            "license": "17000262",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.