Active NPI
Willis Center
- Substance Abuse Rehabilitation Facility
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 6707
- Legal business name
- WILLIS CENTER
- Practice address
- 44 Front St
Fourth Floor
Worcester, MA 01608-1733 - Phone
- (508) 799-2934
- NPI assigned
- Sep 30, 2010
- Last updated
- Sep 30, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lisa Anne Sansoucy, MA CAGS LMHC
- Title
- Clinician
- Phone
- (508) 799-2934
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 6707 | MA | Primary |
Addresses
Primary practice location
44 Front St
Fourth Floor
Worcester, MA 01608-1733
Mailing address
91 Kenberma Road
Apartment #2
Worcester, MA 01604
Phone (508) 479-9310
Other names 1
- Henry Lee WIllis
National Provider Directory
National Provider Directory- Tax ID family
- Henry Lee Willis
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Henry Lee Willis Center
- Community/Behavioral Health Agency
- Worcester, MA
- NPI 1174831358
Locations
44 Front St
Fl Fourth
Worcester, MA 01608
Phone (508) 799-2934
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Worcester, MA
- NPI 1366571796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285804800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285804800000",
"number": "1548579121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 KENBERMA ROAD",
"address_2": "APARTMENT #2",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01604",
"telephone_number": "508-479-9310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 FRONT ST",
"address_2": "FOURTH FLOOR",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081733",
"telephone_number": "508-799-2934"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-30",
"last_updated": "2010-09-30",
"status": "A",
"authorized_official_last_name": "SANSOUCY",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "CLINICIAN",
"authorized_official_telephone_number": "508-799-2934",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MA CAGS LMHC"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "MA",
"license": "6707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Henry Lee WIllis",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.