Mike Allen Willbur, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60640788 Issued in WA

Practice address

14804 NE 16TH St
Vancouver, WA 98684-3600

Phone

(360) 241-3448

Fax

(888) 896-6082

NPI assigned

Jan 5, 2017

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

Other names 1

• Mr. Mike Allen Willbur Professional name

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": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1245775899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14804 NE 16TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986843600",
            "telephone_number": "360-241-3448",
            "fax_number": "888-896-6082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14804 NE 16TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986843600",
            "telephone_number": "360-241-3448",
            "fax_number": "888-896-6082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLBUR",
        "first_name": "MIKE",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60640788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKE",
            "last_name": "WILLBUR",
            "middle_name": "ALLEN",
            "prefix": "MR.",
            "credential": "LMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Isaac Austin Buzz Willard, H.S.
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• Angela Marcy William
• Alice Anne Williams, L.M.P.
• Annabella Mae Williams
• Bernice Williams, CG 60650885

• Mental Health Counselor in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.