Active NPI
James F Willis, LPC
- Mental Health Counselor
- Mobile, AL
National Provider Identifier
1619606589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3764
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 257843 | Medicaid | AL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3764 | AL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Veterans Recovery Resources | Current | Accepting new patients | |
| Veterans Recovery Resources | Current | 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.
-
- Substance Abuse Rehabilitation Facility
- Mobile, AL
- NPI 1285140004
-
- Substance Abuse Rehabilitation Facility
- Mobile, AL
- NPI 1699510198
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.