Active NPI
Gerald Albert Willing, M.S.W.
- Marriage & Family Therapist
- Saginaw, MI
National Provider Identifier
1346391836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 4101005101
- Practice address
- 3521 State St
Suite # 3
Saginaw, MI 48602-3267 - Phone
- (989) 791-4066
- NPI assigned
- Jan 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 4101005101 | MI | Primary |
Addresses
Primary practice location
3521 State St
Suite # 3
Saginaw, MI 48602-3267
Mailing address
3521 State St
Suite # 3
Saginaw, MI 48602-3267
Phone (989) 791-4066
Other names 1
- Jerry A. Willing
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4101005101 | MI | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346391836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3521 STATE ST",
"address_2": "SUITE # 3",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486023267",
"telephone_number": "989-791-4066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3521 STATE ST",
"address_2": "SUITE # 3",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486023267",
"telephone_number": "989-791-4066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLING",
"first_name": "GERALD",
"middle_name": "ALBERT",
"credential": "M.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MI",
"license": "4101005101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JERRY",
"last_name": "WILLING",
"middle_name": "A.",
"credential": "M.S.W.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.