Stephen Laird Willmot, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC013810 Issued in PA

Practice address

410 Main St
Towanda, PA 18848-1865

Phone

(570) 266-5882

NPI assigned

Jul 12, 2022

Sex

Male

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

Enrolled in PA

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

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Penn Comprehensive Health ServicesGroup PAC ID 0446245880, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• North Penn Comprehensive Health Services

  • Federally Qualified Health Center (FQHC)
  • Wellsboro, PA
  • NPI 1912093576
  Medicare reassignment Care Compare group NPD
• Thrive Counseling LLC

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300

  PA

  Medicare reassignment NPD
• North Penn Comprehensive Health Services

  • Federally Qualified Health Center (FQHC)
  • Laporte, PA
  • NPI 1093520587
  NPD
• North Penn Comprehensive Health Services

  • Federally Qualified Health Center (FQHC)
  • Blossburg, PA
  • NPI 1154403038
  NPD
• North Penn Comprehensive Health Services

  • Federally Qualified Health Center (FQHC)
  • Elkland, PA
  • NPI 1003913955
  NPD (past)
• North Penn Comprehensive Health Services

  • Federally Qualified Health Center (FQHC)
  • Wellsboro, PA
  • NPI 1235570417
  NPD (past)
• North Penn Comprehensive Health Services

  • Federally Qualified Health Center (FQHC)
  • Lawrenceville, PA
  • NPI 1326148164
  NPD (past)
• North Penn Comprehensive Health Services

  • Federally Qualified Health Center (FQHC)
  • Troy, PA
  • NPI 1417536285
  NPD (past)
• North Penn Comprehensive Health Services

  • Federally Qualified Health Center (FQHC)
  • Mansfield, PA
  • NPI 1609433036
  NPD (past)
• North Penn Comprehensive Health Services

  • Federally Qualified Health Center (FQHC)
  • Mansfield, PA
  • NPI 1750461455
  NPD (past)

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1801520135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W WELLSBORO ST",
            "city": "MANSFIELD",
            "state": "PA",
            "postal_code": "169331411",
            "telephone_number": "570-662-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 MAIN ST",
            "city": "TOWANDA",
            "state": "PA",
            "postal_code": "188481865",
            "telephone_number": "570-266-5882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 Pleasant St",
            "address_purpose": "LOCATION",
            "city": "Sayre",
            "state": "PA",
            "postal_code": "188402726",
            "country_code": "US",
            "telephone_number": "607-206-0206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLMOT",
        "first_name": "STEPHEN",
        "middle_name": "LAIRD",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-12",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC013810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Wheaton
• Susan M White, RD, LDN
• Jill E Wilcox, MSPT
• Daniel Roland Williams
• Michelle Tyler Williams, DPT
• Barbara Wywiorski, O.D.
• Angela Zang, MD
• Wade Zinter, PT

• Professional Counselor in Towanda, PA
• Providers in Towanda, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.