NPIMap

Organization Active NPI

Wills Center

  • Community/Behavioral Health Agency
  • Worcester, MA
National Provider Identifier
1174831358
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6707 Issued in MA
Legal business name
WILLS CENTER
Practice address
44 Front St
4TH Floor
Worcester, MA 01608-1733
Phone
(508) 799-2934
NPI assigned
Sep 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Authorized official

Name
Ms. Lisa Anne Sansoucy, MA, CAGS, LMHC
Title
Clinician
Phone
(508) 799-2934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6707 MA Primary

Addresses

Primary practice location

44 Front St
4TH Floor
Worcester, MA 01608-1733

Mailing address

91 Kenberma Rd
#2
Worcester, MA 01604-3951
Phone (508) 479-9310

Other names 1

  • Henry Lee Willis Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Henry Lee Willis2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

44 Front St
Fl 4
Worcester, MA 01608
Phone (508) 799-2934

NPI Registry JSON

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1174831358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 KENBERMA RD",
            "address_2": "#2",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016043951",
            "telephone_number": "508-479-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 FRONT ST",
            "address_2": "4TH FLOOR",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081733",
            "telephone_number": "508-799-2934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-21",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "SANSOUCY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "508-799-2934",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, CAGS, LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "6707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry Lee Willis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.