Robert A. Willis, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

204 Jefferson St
Suite 106
N Wilkesboro, NC 28659-3586

Phone

(336) 838-1644

Fax

(336) 667-7720

NPI assigned

Apr 5, 2011

Last updated

Sep 22, 2021By the provider in NPPES

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

Enrolled in NC

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carenet, Inc.

  dba Baptist Hospital Carenet Counseling Centers

  • Mental Health Counselor
  • Winston Salem, NC
  • NPI 1043424013
  Medicare reassignment NPD Authorized official
• Carenet Inc

  • Professional Counselor
  • Winston Salem, NC
  • NPI 1376432492

  Marriage & Family Therapist

  NPD Authorized official
• Carenet, Inc.

  dba Baptist Hospital Carenet Counseling Centers

  • Mental Health Counselor
  • North Wilkesboro, NC
  • NPI 1760696736
  NPD
• Carenet, Inc

  • Professional Counselor
  • Lexington, NC
  • NPI 1659946804
  NPD (past)
• Carenet, Inc.

  dba Carenet Counseling

  • Mental Health Counselor
  • Elkin, NC
  • NPI 1588069207
  NPD (past)

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1255620746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1656",
            "city": "N WILKESBORO",
            "state": "NC",
            "postal_code": "286591656",
            "telephone_number": "336-838-1644",
            "fax_number": "336-667-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 JEFFERSON ST",
            "address_2": "SUITE 106",
            "city": "N WILKESBORO",
            "state": "NC",
            "postal_code": "286593586",
            "telephone_number": "336-838-1644",
            "fax_number": "336-667-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "ROBERT",
        "middle_name": "A.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-05",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilkes Dental Consortium Inc (Wilkes Public Health Dental Clinic)
• Wilkes Family Health Center, PA
• Wilkes Hospital Operating Corporation (Wilkes Regional Medical Center)
• Wilkes Senior Resources, Inc.
• Wilkes Womens Care, PA
• He Xiao

• Marriage & Family Therapist in N Wilkesboro, NC
• Providers in N Wilkesboro, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.