Active NPI
Allecia Marie Willson, BSW
- Mental Health Counselor
- Mashpee, MA
National Provider Identifier
1174839203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 470 Main Street
Mashpee, MA 02649 - Phone
- (508) 760-1475
- NPI assigned
- Aug 26, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | S55116000 | MA | |
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
470 Main Street
Mashpee, MA 02649
Mailing address
470 Main St
Mashpee, MA 02649-2047
Phone (508) 760-1475
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
| License | State | Type | Specialty |
|---|---|---|---|
| S55116000 | MA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446595200000",
"number": "1174839203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "470 MAIN ST",
"city": "MASHPEE",
"state": "MA",
"postal_code": "026492047",
"telephone_number": "508-760-1475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 MAIN STREET",
"city": "MASHPEE",
"state": "MA",
"postal_code": "02649",
"telephone_number": "508-760-1475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLSON",
"first_name": "ALLECIA",
"middle_name": "MARIE",
"credential": "BSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-26",
"last_updated": "2015-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MA",
"license": "S55116000",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mashpee, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.