Keri Renee Willis, MA, NCC, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

16243 Issued in NC

Practice address

775 Haywood Rd Ste J
Asheville, NC 28806-7111

Phone

(828) 412-0890

Fax

(828) 392-8001

NPI assigned

Apr 16, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Keri Renee Counseling PLLC

  • Adult Mental Health Clinic/Center
  • Asheville, NC
  • NPI 1902260219
  NPD Authorized official

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

{
    "created_epoch": "1460764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1285088260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 HAYWOOD RD STE J",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288067111",
            "telephone_number": "828-412-0890",
            "fax_number": "828-392-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 HAYWOOD RD STE J",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288067111",
            "telephone_number": "828-412-0890",
            "fax_number": "828-392-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "KERI",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "MA, NCC, LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-16",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "16243",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NC",
            "license": "16243",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "16243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Weldon Kent Williamson, MD
• Lindsey Williford, NP
• Amy Batt Willis, MD
• Darian Willis
• Jeremy S Willis, PHARMD
• Susan Willis, LCAS, CCS
• Wendy Dee Willoughby, D.D.S.
• Willow Place II, Inc
• Willow Place II, Inc
• Willow Wellness and Recovery Center PC

• Mental Health Counselor in Asheville, NC
• Providers in Asheville, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.