Individual provider Active NPI

Willie L Hillman Jr., MA, LLPC

  • Mental Health Counselor
  • Saginaw, MI
National Provider Identifier
1801441654
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401016783 Issued in MI
Practice address
203 S Washington Ave Ste 310
Saginaw, MI 48607-1215
Phone
(989) 793-4790
NPI assigned
Aug 8, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401016783 MI Primary

Addresses

Primary practice location

203 S Washington Ave Ste 310
Saginaw, MI 48607-1215

Mailing address

203 S Washington Ave Ste 310
Saginaw, MI 48607-1215
Phone (989) 793-4790

Other practice location 1

3188 Churchhill Ln Apt 2
Saginaw, MI 48603-4317
Phone (989) 798-5679

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address whillman@svrcindustries.com 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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401016783MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lyfe Services LLC Mental Health Current Accepting new patients
Westlund Guidance Clinic CurrentSince Apr 6, 2023 Accepting new patients
Westlund Guidance Clinic PastSince Apr 6, 2023 Accepting new patients

Locations

203 S Washington Ave
Ste 310
Saginaw, MI 48607
Phone (989) 245-3092

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1801441654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S WASHINGTON AVE STE 310",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486071215",
            "telephone_number": "989-793-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S WASHINGTON AVE STE 310",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486071215",
            "telephone_number": "989-793-4790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3188 Churchhill Ln Apt 2",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486034317",
            "country_code": "US",
            "telephone_number": "989-798-5679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILLMAN",
        "first_name": "WILLIE",
        "middle_name": "L",
        "name_suffix": "Jr.",
        "credential": "MA, LLPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-08",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401016783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "whillman@svrcindustries.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "203 S Washington Ave Ste 310",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486071215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.