Active NPI
Brie-Anna Michelle Willey, L.M.H.C., C.R.C.
- Mental Health Counselor
- Palmetto, FL
National Provider Identifier
1376910059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH12927
- Practice address
- 600 8TH Ave W Ste 200
Palmetto, FL 34221-5162 - Phone
- (941) 757-8597
- Fax
- (855) 240-3641
- NPI assigned
- Aug 28, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH12927 | FL | Primary |
Addresses
Primary practice location
600 8TH Ave W Ste 200
Palmetto, FL 34221-5162
Mailing address
PO Box 2063
Palmetto, FL 34220-2063
Phone (941) 807-2670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2024 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH12927 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shekinah Counseling and Consulting LLC | Mental Health | Current | Accepting new patients |
Locations
600 8th Ave W
Ste 200
Palmetto, FL 34221
Phone (301) 806-6948
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Palmetto, FL
- NPI 1952935967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582848000000",
"number": "1376910059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2063",
"city": "PALMETTO",
"state": "FL",
"postal_code": "342202063",
"telephone_number": "941-807-2670",
"fax_number": "855-240-3641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 8TH AVE W STE 200",
"city": "PALMETTO",
"state": "FL",
"postal_code": "342215162",
"telephone_number": "941-757-8597",
"fax_number": "855-240-3641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLEY",
"first_name": "BRIE-ANNA",
"middle_name": "MICHELLE",
"credential": "L.M.H.C., C.R.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-28",
"last_updated": "2020-02-28",
"certification_date": "2020-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH12927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmetto, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.