Jeanne Willis

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

94883 Issued in CA

Practice address

157 Van Ness Ave Ste 6
Santa Cruz, CA 95060-4200

Phone

(831) 239-0089

NPI assigned

Aug 7, 2018

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1295214708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 EVERSON DR",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950607132",
            "telephone_number": "831-420-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 VAN NESS AVE STE 6",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604200",
            "telephone_number": "831-239-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "JEANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "94883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Micah John Williams, L.AC
• Richard Alan Williams, MD
• Sierra S Williams
• Timothy Williams
• Andrew Williamson
• Rory Benson Willis I
• Catherine Willkie, PSY
• Gillian Willson, RN
• Taflyn Wilschinsky, DPT
• Ginger Wilson Raabe, PHD

• Mental Health Counselor in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.