Joanna Victoria Willis, LLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6451011763 Issued in MI

Practice address

14031 Oak Park Blvd
Oak Park, MI 48237-2007

Phone

(248) 388-2126

NPI assigned

Aug 24, 2022

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

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": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1467171371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14031 OAK PARK BLVD",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372007",
            "telephone_number": "248-388-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14031 OAK PARK BLVD",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372007",
            "telephone_number": "248-388-2126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29501 Greenfield Rd Ste 132",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480762250",
            "country_code": "US",
            "telephone_number": "248-388-2126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "JOANNA",
        "middle_name": "VICTORIA",
        "credential": "LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6451011763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur E Williams II, D.D.S.
• Angel Victoria Williams
• Chantele Williams, BCBA
• Latrese Williams
• Sonya Williams, RDH
• Vickie Lavette Willis, LPC
• Wilson Counseling and Educational Consultants, PLLC
• Evelyn Wilson, LPN
• Elise Winchester, OTRL
• Wise Eyes LLC (Michigan Contact Lens)

• Professional Counselor in Oak Park, MI
• Providers in Oak Park, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.