Mary Catherine Willard, LMP

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA60106211 Issued in WA

Practice address

430 W 2ND Ave
Suite 101
Spokane, WA 99201-6003

Phone

(509) 863-5857

NPI assigned

Feb 19, 2010

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

Other identifiers 1

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": "1266537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266537600000",
    "number": "1326360298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14907 W AUTUMN LN",
            "city": "NINE MILE FALLS",
            "state": "WA",
            "postal_code": "990269643",
            "telephone_number": "509-465-4534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 W 2ND AVE",
            "address_2": "SUITE 101",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992016003",
            "telephone_number": "509-863-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLARD",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-19",
        "last_updated": "2010-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA60106211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPIST",
            "identifier": "MA60106211",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joeleen Joyce Wilkinson, LICSW, CDP, MAC
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• Aisha Willard, MA, LMFT, MHP, CMHS
• Paul A Willard, MD
• Brett D Willcockson, SUDPT
• Ella Cuevas Willer, BSN, RN
• Emily Willet, MA, LMHC, LPC, NCC
• Sarah Willett, SUDPT

• Specialist in Spokane, WA
• Providers in Spokane, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; 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.