Miriam Suzanne Wills, ED.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

P1177 Issued in TN

Practice address

6311 Kingston Pike
Suite 28W
Knoxville, TN 37919-4906

Phone

(865) 588-3173

NPI assigned

Jul 23, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279843200000",
    "number": "1174836779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 WHIRLAWAY CIR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379232144",
            "telephone_number": "865-539-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6311 KINGSTON PIKE",
            "address_2": "SUITE 28W",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194906",
            "telephone_number": "865-588-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLS",
        "first_name": "MIRIAM",
        "middle_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-23",
        "last_updated": "2010-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TN",
            "license": "P1177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Ashley Willis, PA-C
• Taylor Paige Willis
• Melinda Lou Willocks, RDH
• Willowbrook Counseling LLC
• Andrew Belden Wills, DO
• Brittany Wilmore, RBT
• Cassie Lynn Wilmouth
• Shannon Marie Wilms, MS
• Jessica Renee Wilson Carson, RDH
• Leslie Erin Wilson-Charles, M.S, LMFT

• Counseling Psychologist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Counseling Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.