The Willis Group- Moving Forward

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

THE WILLIS GROUP- MOVING FORWARD

Doing business as

Jennifer Willis

Practice address

1200 Main Street
1407
Dallas, TX 75202

Phone

(214) 800-2846

Fax

(214) 853-5663

NPI assigned

Oct 9, 2023

Last updated

Oct 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Willis, MS MBANPI 1124306543

Title

Executive Directo

Phone

(214) 927-6179

Specialties & licenses 1

Addresses

Other names 3

• Jennifer Willis Doing business as
• Moving Forward Other name
• The Willis Group Other name

Tax ID family

Jennifer Willis4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Jennifer Willis

  • Case Management Agency
  • Rockwall, TX
  • NPI 1588942908
  NPD tax ID
• The Willis Group

  dba Moving Forward

  • Home Health Agency
  • Dallas, TX
  • NPI 1851844450
  NPD tax ID
• The Willis Group- Moving Forward

  • Community/Behavioral Health Agency
  • Farmers Branch, TX
  • NPI 1174922975
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Willis, M.S., M.B.A.

  • Contractor
  • Dallas, TX
  • NPI 1124306543
  NPD Authorized official

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1821879578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 S GOLIAD ST UNIT 1524",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874051",
            "telephone_number": "214-800-2846",
            "fax_number": "214-853-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MAIN STREET",
            "address_2": "1407",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75202",
            "telephone_number": "214-800-2846",
            "fax_number": "214-853-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WILLIS GROUP- MOVING FORWARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTO",
        "authorized_official_telephone_number": "214-927-6179",
        "authorized_official_credential": "MS MBA"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jennifer Willis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Moving Forward",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "The Willis Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• The Walker Wellness Clinic
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• The Wilcher Corporation (Lighthouse Senior Day Center)
• The Willis Group (Moving Forward)
• The Winston School
• The Ziggurat Group, PA (Ziggurat Group)
• Jason Theccanat, DPT
• Magdalena Rose Theel, LPC
• Marie Felice Theilen, DPT

• Contractor in Dallas, TX
• Providers in Dallas, TX by specialty
• Contractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.