Active NPI
Juleanna Willis, CT-AD
- Addiction (Substance Use Disorder) Counselor
- Salisbury, MD
National Provider Identifier
1548735764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- ADT1742
- Practice address
- 540 Riverside Dr Ste 7
Salisbury, MD 21801-5352 - Phone
- (410) 548-3333
- NPI assigned
- Oct 4, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ADT1742 | MD | Primary |
Addresses
Primary practice location
540 Riverside Dr Ste 7
Salisbury, MD 21801-5352
Mailing address
540 Riverside Dr Ste 7
Salisbury, MD 21801-5352
Phone (410) 548-3333
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 |
|---|---|---|---|
| ADT1742 | MD | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538611200000",
"number": "1548735764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 RIVERSIDE DR STE 7",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218015352",
"telephone_number": "410-548-3333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 RIVERSIDE DR STE 7",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218015352",
"telephone_number": "410-548-3333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIS",
"first_name": "JULEANNA",
"credential": "CT-AD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-04",
"last_updated": "2018-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MD",
"license": "ADT1742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.