Miles Alves Willis

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

850 7TH Ave Ste 1106
New York, NY 10019-0029

Phone

(646) 797-4340

Fax

(646) 205-8238

NPI assigned

May 26, 2023

Sex

Male

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Jesse Kahn LCSW PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
  • NPI 1396260980
  NPD
• Collaborative Therapy Mental Health Counseling PC

  • Mental Health Counselor
  • New York, NY
  • NPI 1437773611
  NPD (past)

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1235822230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 7TH AVE STE 1106",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100190029",
            "telephone_number": "646-797-4340",
            "fax_number": "646-205-8238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 7TH AVE STE 1106",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100190029",
            "telephone_number": "646-797-4340",
            "fax_number": "646-205-8238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "MILES",
        "middle_name": "ALVES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-26",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Abieyuwa Willis
• Khori-Ann Willis
• Lauren Willis
• Lucy Katherine Willis, M.D.
• Melanie Willis, LMSW
• Monderrick Willis
• Robert Howard Willis, M.D.
• Rodney Willis Jr.
• Trellane Arthur Willis, MD
• Wesley Demarius Willis, PSY.D, LCSW-R, RN

• Mental Health Counselor in New York, NY
• Providers in New York, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.