Individual provider Active NPI

Wanda Jeanette Willis, MAED LPC

  • Professional Counselor
  • Franklin, NC
National Provider Identifier
1245412097
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
654 Issued in NC
Practice address
1202 Old Murphy Rd
Macon County Schools
Franklin, NC 28734-9111
Phone
(828) 524-3314
Fax
(828) 369-7240
NPI assigned
Dec 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 654 NC Primary

Addresses

Primary practice location

1202 Old Murphy Rd
Macon County Schools
Franklin, NC 28734-9111

Mailing address

PO Box 1029
Macon County Schools
Franklin, NC 28744-1029
Phone (828) 524-3314

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

LicenseStateTypeSpecialty
654NCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Macon County Schools Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1245412097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1029",
            "address_2": "MACON COUNTY SCHOOLS",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "287441029",
            "telephone_number": "828-524-3314",
            "fax_number": "828-369-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 OLD MURPHY RD",
            "address_2": "MACON COUNTY SCHOOLS",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "287349111",
            "telephone_number": "828-524-3314",
            "fax_number": "828-369-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "WANDA",
        "middle_name": "JEANETTE",
        "name_prefix": "Ms.",
        "credential": "MAED LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.