Brandyn Willis, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

6125 S Sheridan Rd
Suite D
Tulsa, OK 74133-4056

Phone

(918) 585-3085

Fax

(918) 495-3713

NPI assigned

Jul 31, 2008

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

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Resolve Behavioral Health ServicesGroup PAC ID 0840702387, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Resolve Behavioral Health Services

  • Clinical Social Worker
  • Tulsa, OK
  • NPI 1497232888
  Medicare reassignment Care Compare group NPD
• Heartroot Clinical Services LLC

  • Mental Health Counselor
  • Tulsa, OK
  • NPI 1306649355
  NPD Authorized official
• Shadow Mountain Behavioral Health System, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tulsa, OK
  • NPI 1740384049
  NPD (past)
• Shadow Mountain Behavioral Health System, LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Tulsa, OK
  • NPI 1821105263
  NPD (past)

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217462400000",
    "number": "1508022302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6262 S SHERIDAN RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334055",
            "telephone_number": "918-492-8200",
            "fax_number": "918-493-3268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6125 S SHERIDAN RD",
            "address_2": "SUITE D",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334056",
            "telephone_number": "918-585-3085",
            "fax_number": "918-495-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "BRANDYN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Nicole Williamson
• Rosa Yanelis Williamson, DO
• Tosha Williamson, RBT
• Morgan Shaye Willibey
• Ashlynn Renee Willis
• Brittany Tiauna Willis, BA
• David Willis, PTA
• Dickey Ledell Willis
• Ebonye Willis
• Heather Eileen Willis, LCSW

• Professional Counselor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.