Jean Marie Callahan Willsie, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH8779 Issued in FL

Practice address

51 S Main Ave
Suite 319
Clearwater, FL 33765-3952

Phone

(727) 726-9408

Fax

(727) 725-9685

NPI assigned

Aug 28, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1689868101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 S MAIN AVE",
            "address_2": "SUITE 319",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653952",
            "telephone_number": "727-726-9408",
            "fax_number": "727-725-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 S MAIN AVE",
            "address_2": "SUITE 319",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653952",
            "telephone_number": "727-726-9408",
            "fax_number": "727-725-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLSIE",
        "first_name": "JEAN MARIE",
        "middle_name": "CALLAHAN",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Douglas Williamson, MD
• Nicole Williamson
• Andrew Charles Willinger, DO
• Fredericka Willis, M.S.
• Linda Yali Willms
• Alexandra Wilson
• Antoinette Nichol Wilson
• Edward Wilson
• Eric Eugene Wilson, L.M.T.
• Gillian Lauren Wilson, LCMHC

• Mental Health Counselor in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.