Active NPI
Takariah Willis-Finney, LCMHCA, NCC
- Mental Health Counselor
- Mooresville, NC
National Provider Identifier
1407490899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A15232
- Practice address
- 919 N Main St
Mooresville, NC 28115-2355 - Phone
- (704) 660-6854
- NPI assigned
- Oct 29, 2019
- 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 | A15232 | NC | Primary |
Addresses
Primary practice location
919 N Main St
Mooresville, NC 28115-2355
Mailing address
PO Box 690251
Mint Hill, NC 28227-7004
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 |
|---|---|---|---|
| A15232 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580428800000",
"number": "1407490899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 690251",
"city": "MINT HILL",
"state": "NC",
"postal_code": "282277004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 N MAIN ST",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281152355",
"telephone_number": "704-660-6854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIS-FINNEY",
"first_name": "TAKARIAH",
"credential": "LCMHCA, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-29",
"last_updated": "2020-01-31",
"certification_date": "2020-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A15232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.