Individual provider Active NPI

Kajuan Emonie Willis

  • Professional Counselor
  • Sylvania, OH
National Provider Identifier
1548754757
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.2606359 Issued in OH
Practice address
5834 Monroe St Ste 1201
Sylvania, OH 43560-2267
Phone
(567) 318-2586
Fax
(419) 299-6069
NPI assigned
Jun 20, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X E.2606359 OH
Professional Counselor 101YP2500X E.2606359 OH Primary

Addresses

Primary practice location

5834 Monroe St Ste 1201
Sylvania, OH 43560-2267

Mailing address

5834 Monroe St Ste 1201
Suite a
Sylvania, OH 43560-2267
Phone (567) 318-2586

Other practice location 1

470 Olde Worthington Rd Ste 200
Westerville, OH 43082-9127
Phone (888) 500-2067

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

Practice roles

OrganizationSpecialtyStatusNew patients
Willis Counseling & Consulting PastSince Feb 9, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1548754757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5834 MONROE ST STE 1201",
            "address_2": "SUITE A",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602267",
            "telephone_number": "567-318-2586",
            "fax_number": "419-299-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5834 MONROE ST STE 1201",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602267",
            "telephone_number": "567-318-2586",
            "fax_number": "419-299-6069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "470 Olde Worthington Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430829127",
            "country_code": "US",
            "telephone_number": "888-500-2067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "KAJUAN",
        "middle_name": "EMONIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.2606359",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2606359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.