Active NPI
Christopher Willson, M.S., L.P.C.
- Mental Health Counselor
- Springfield, OR
National Provider Identifier
1407148901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2263
- Practice address
- 41496 McKenzie Hwy
Springfield, OR 97478-8688 - Phone
- (541) 896-9300
- NPI assigned
- May 3, 2011
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2263 | OR | Primary |
Addresses
Primary practice location
41496 McKenzie Hwy
Springfield, OR 97478-8688
Mailing address
41496 McKenzie Hwy
Springfield, OR 97478
Phone (541) 896-9300
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2263 | OR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rainrock Treatment Center, LLC | Past | Accepting new patients | |
| PNW Psychiatric Services Professional Corporation | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
- NPI 1689541443
-
- Mental Illness Community Based Residential Treatment Facility
- Springfield, OR
- NPI 1629119086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304380800000",
"number": "1407148901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41496 MCKENZIE HWY",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "97478",
"telephone_number": "541-896-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41496 MCKENZIE HWY",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974788688",
"telephone_number": "541-896-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLSON",
"first_name": "CHRISTOPHER",
"credential": "M.S., L.P.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-03",
"last_updated": "2011-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "2263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.