Steven Jerrold Willis, MED

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT 2056 Issued in FL

Practice address

1111 12TH Street
Suite 204
Key West, FL 33040-3011

Phone

(305) 747-2124

Fax

(305) 293-4339

NPI assigned

Aug 25, 2006

Last updated

Jul 16, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1629185327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 12TH STREET",
            "address_2": "SUITE 204",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330403011",
            "telephone_number": "305-747-2124",
            "fax_number": "305-293-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 12TH STREET",
            "address_2": "SUITE 204",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330403011",
            "telephone_number": "305-747-2124",
            "fax_number": "305-293-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "STEVEN",
        "middle_name": "JERROLD",
        "name_prefix": "Mr.",
        "credential": "MED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MHC 6306",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MFT 2056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Eric Whiteside, M.D.
• Chris Hayes Williams
• Kelly Williams
• Ross Williams, D.C.
• Yahaira Williams
• Symphony Wilson, BSN, RN
• Jeanine Winegarden
• John S Wininger, PHARM.D
• Womancare of the Keys Inc
• Womankind, Inc.

• Marriage & Family Therapist in Key West, FL
• Providers in Key West, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.