Individual provider Active NPI

Alisa S Willman, LMT

  • Addiction (Substance Use Disorder) Counselor
  • Monroe, MI
National Provider Identifier
1740870039
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
3250 N Monroe St
Monroe, MI 48162-9297
Phone
(734) 384-3121
NPI assigned
Jan 21, 2021
Last updated
Apr 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X MI Primary
Massage Therapist 225700000X MA95448 FL

Addresses

Primary practice location

3250 N Monroe St
Monroe, MI 48162-9297

Mailing address

26595 Rock Lake CT
Flat Rock, MI 48134-8312
Phone (917) 494-0185

Other practice location 1

2600 Westhall Ln
Maitland, FL 32751-7102
Phone (917) 494-0185

Other identifiers 1

IdentifierTypeStateIssuer
MA95448OtherFLMASSAGE THERAPY LICENSE

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
MA95448FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1740870039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26595 ROCK LAKE CT",
            "city": "FLAT ROCK",
            "state": "MI",
            "postal_code": "481348312",
            "telephone_number": "917-494-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481629297",
            "telephone_number": "734-384-3121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Westhall Ln",
            "address_purpose": "LOCATION",
            "city": "Maitland",
            "state": "FL",
            "postal_code": "327517102",
            "country_code": "US",
            "telephone_number": "917-494-0185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLMAN",
        "first_name": "ALISA",
        "middle_name": "S",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-21",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA95448",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPY LICENSE",
            "identifier": "MA95448",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.