Susan Emily Willis

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

298476 Issued in KY

Practice address

2714 Smallhouse Rd
Bowling Green, KY 42104-4350

Phone

(541) 829-8218

NPI assigned

Feb 20, 2025

Last updated

Dec 17, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Susan Howard Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1417753559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2714 SMALLHOUSE RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421044350",
            "telephone_number": "541-829-8218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2714 SMALLHOUSE RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421044350",
            "telephone_number": "541-829-8218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "SUSAN",
        "middle_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "298476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "HOWARD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kayla Williamson, MD
• Chad Willis, M.D.
• Jana Willis, MS RD LDN
• Jayna Nichole Willis, M.S. CCC-SLP
• Jeramy C. Willis, KCSA
• Tammy L Willis, DMD
• Kevin Willoughby, LCSW
• Steffan Willoughby, PEER SUPPORT SPEC.
• Noah Wills
• Wilson Counseling LLC

• Mental Health Counselor in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.