Organization Active NPI

Willa Jean Group LLC

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1467103010
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WILLA JEAN GROUP LLC
Practice address
3961 E Chandler Blvd
111-234
Phoenix, AZ 85048-0303
Phone
(480) 482-8791
NPI assigned
Jan 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Authorized official

Name
Twyla Webster-Scott, LPC
Title
Clinical Therapist
Phone
(480) 482-8791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3961 E Chandler Blvd
111-234
Phoenix, AZ 85048-0303

Mailing address

3961 E Chandler Blvd 111-234
Phoenix, AZ 85048-0303
Phone (480) 482-8791

Other names 1

  • Willa Jean Group, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

3961 E Chandler Blvd
#111234
Phoenix, AZ 85048
Phone (480) 482-8791

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1467103010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3961 E CHANDLER BLVD 111-234",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480303",
            "telephone_number": "480-482-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3961 E CHANDLER BLVD",
            "address_2": "111-234",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480303",
            "telephone_number": "480-482-8791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLA JEAN GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "WEBSTER-SCOTT",
        "authorized_official_first_name": "TWYLA",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "480-482-8791",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willa Jean Group, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.

Verify at the official NPI Registry.