Kimyette Willis, BA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC011000 Issued in PA

Practice address

2600 W 9TH St
5TH Floor
Chester, PA 19013-2040

Phone

(610) 497-7669

Fax

(610) 497-7363

NPI assigned

Jun 6, 2008

Last updated

Jun 11, 2019By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kimyette Y. Willis Counseling Services, LLC

  • Mental Health Counselor
  • Chadds Ford, PA
  • NPI 1720707748
  NPD Authorized official
• Karen Zelaya-Kendall, PH.D. and Associates, LLC

  • Clinical Psychologist
  • Philadelphia, PA
  • NPI 1689174161
  NPD (past)

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1841459534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 W 9TH ST",
            "address_2": "5TH FLOOR",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190132040",
            "telephone_number": "610-497-7669",
            "fax_number": "610-497-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 W 9TH ST",
            "address_2": "5TH FLOOR",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190132040",
            "telephone_number": "610-497-7669",
            "fax_number": "610-497-7363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1845 Walnut St Ste 1555",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191034708",
            "country_code": "US",
            "telephone_number": "484-557-2367",
            "fax_number": "484-840-5613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "KIMYETTE",
        "name_prefix": "Ms.",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC011000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louis R. Will, DDS
• Aneesah Williams
• Christopher Alan Williams, M.D.
• Shelby Cathrine Williamson
• English D Willis, MD
• Saborah Willis, BS
• Stephanie Nikeya Willis
• Ann Wilson, B.A.
• Eric C Wilson, BA
• Pamela Wilson, MS, CCDP-D

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.