Renee Willis, LPC, RPT, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC008460 Issued in GA

Practice address

109 Central Ave
Cartersville, GA 30120-3905

Phone

(657) 229-0679

NPI assigned

Mar 29, 2012

Last updated

Mar 22, 2019By the provider in NPPES

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Forever Changed Counseling, Inc

  • Professional Counselor
  • Cartersville, GA
  • NPI 1003273632
  NPD (past) Authorized official

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1407122948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WETLANDS RD",
            "city": "WHITE",
            "state": "GA",
            "postal_code": "301842885",
            "telephone_number": "657-229-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CENTRAL AVE",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203905",
            "telephone_number": "657-229-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "LPC, RPT, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Rene Williams, N.P.
• Sharon K Williams, MS RD LD
• Tammy Watkins Williams, MD
• Tara Williams, CRNA
• Margaret Kennedy Williamson, RD
• Cheryl Griffin Willoughby, LPC
• Willowbrook Hospice LLC
• Johnnie Willie Wilson III
• Sherry Lanette Wise-Mays
• Karen Patricia Wise, DDS

• Professional Counselor in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; 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.