Organization Active NPI

Kimyette Y. Willis Counseling Services, LLC

  • Mental Health Counselor
  • Chadds Ford, PA
National Provider Identifier
1720707748
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KIMYETTE Y. WILLIS COUNSELING SERVICES, LLC
Practice address
225 Wilmington W Chester Pike
Chadds Ford, PA 19317-9011
Phone
(484) 860-8798
NPI assigned
Aug 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Authorized official

Name
Ms. Kimyette Yvonne Willis, LPCNPI 1841459534
Title
Licensed Professional Counselor
Phone
(484) 860-8798

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

225 Wilmington W Chester Pike
Chadds Ford, PA 19317-9011

Mailing address

225 Wilmington W Chester Pike
Chadds Ford, PA 19317-9011
Phone (484) 860-8798

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kim@kywcounselingservices.com Direct

National Provider Directory

National Provider Directory

Locations

225 Wilmington W Chester Pike
Chadds Ford, PA 19317
Phone (833) 728-1368

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1720707748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 WILMINGTON W CHESTER PIKE",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193179011",
            "telephone_number": "484-860-8798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 WILMINGTON W CHESTER PIKE",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193179011",
            "telephone_number": "484-860-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMYETTE Y. WILLIS COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "KIMYETTE",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "484-860-8798",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kim@kywcounselingservices.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "225 Wilmington W Chester Pike",
            "city": "Chadds Ford",
            "state": "PA",
            "country_code": "US",
            "postal_code": "193179011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chadds Ford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.