Individual provider Active NPI

James F Willis, LPC

  • Mental Health Counselor
  • Mobile, AL
National Provider Identifier
1619606589
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3764 Issued in AL
Practice address
1156 Spring Hill Ave
Mobile, AL 36604-3660
Phone
(866) 648-7334
Fax
(251) 405-3323
NPI assigned
Jun 7, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3764 AL Primary

Addresses

Primary practice location

1156 Spring Hill Ave
Mobile, AL 36604-3660

Mailing address

PO Box 41241
Mobile, AL 36640-1241
Phone (866) 648-7334

Other identifiers 1

IdentifierTypeStateIssuer
257843MedicaidAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@vetsrecover.org Direct

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

LicenseStateTypeSpecialty
3764ALMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Veterans Recovery Resources CurrentSince Jun 12, 2022 Accepting new patients
Veterans Recovery Resources CurrentSince Jun 30, 2024 Accepting new patients

Locations

1200B Spring Hill Ave
Mobile, AL 36604
Phone (251) 405-3677

Organizations & group practices 2

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": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1619606589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41241",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366401241",
            "telephone_number": "866-648-7334",
            "fax_number": "251-405-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 SPRING HILL AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366043660",
            "telephone_number": "866-648-7334",
            "fax_number": "251-405-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "JAMES",
        "middle_name": "F",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "3764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257843",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@vetsrecover.org",
            "affiliation": "N",
            "endpointDescription": "info@vetsrecover.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1156 Spring Hill Ave",
            "city": "Mobile",
            "state": "AL",
            "country_code": "US",
            "postal_code": "366043660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.