Marque Willis

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1401 Parkmoor Ave
230
San Jose, CA 95126-3403

Phone

(408) 510-3480

NPI assigned

Aug 27, 2014

Sex

Male

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

Practice roles

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.

• The Unity Care Group

  • Community/Behavioral Health Agency
  • San Jose, CA
  • NPI 1215097621
  NPD (past)

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1225438237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "772 S 2ND ST APT E",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951125858",
            "telephone_number": "209-610-6437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 PARKMOOR AVE",
            "address_2": "230",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951263403",
            "telephone_number": "408-510-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "MARQUE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanda Laquisha Williams
• Brian Robert Williamson, PT
• Theresa Clark Williamson, PT
• Joyce Willis, MS,CCC-SLP
• Julie Willis
• Kathleen Willman
• Jennifer Willmes
• Carol Willoughby, R.N.
• Willow Anxiety and Ocd
• Willow Glen Chiropractic

• Counselor in San Jose, CA
• Providers in San Jose, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.