Active NPI
Elizabeth A. Willman
- Mental Health Counselor
- Racine, WI
National Provider Identifier
1437542990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5413
- Practice address
- Racine Police Department 730 Center Street
Racine, WI 53403 - Phone
- (414) 550-5439
- NPI assigned
- Mar 9, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 13550 | WI | |
| Mental Health Counselor | 101YM0800X | 5413 | WI | Primary |
Addresses
Primary practice location
Racine Police Department 730 Center Street
Racine, WI 53403
Mailing address
Racine Police Department 730 Center Street
Racine, WI 53403
Phone (414) 550-5439
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 |
|---|---|---|---|
| 5413 | WI | MD | Counselor |
| 13550 | WI | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654732800000",
"number": "1437542990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RACINE POLICE DEPARTMENT 730 CENTER STREET",
"city": "RACINE",
"state": "WI",
"postal_code": "53403",
"telephone_number": "414-550-5439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RACINE POLICE DEPARTMENT 730 CENTER STREET",
"city": "RACINE",
"state": "WI",
"postal_code": "53403",
"telephone_number": "414-550-5439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLMAN",
"first_name": "ELIZABETH",
"middle_name": "A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-09",
"last_updated": "2022-06-09",
"certification_date": "2022-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "13550",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "5413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Racine, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.