Active NPI
Wills Center
Doing business as Henry Lee Willis Center
- Community/Behavioral Health Agency
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 6707
- Legal business name
- WILLS CENTER
- Doing business as
- Henry Lee Willis Center
- Practice address
- 44 Front St
4TH Floor
Worcester, MA 01608-1733 - Phone
- (508) 799-2934
- NPI assigned
- Sep 21, 2010
- Last updated
- Sep 21, 2010
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Henry Lee Willis
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Worcester, MA
- NPI 1548579121
Locations
44 Front St
Fl 4
Worcester, MA 01608
Phone (508) 799-2934
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Worcester, MA
- NPI 1366571796
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.