Individual provider Active NPI

Nia Willis, LGPAT

  • Art Therapist
  • Towson, MD
National Provider Identifier
1861116360
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
ATG311 Issued in MD
Practice address
1220 E Joppa Rd BLDG B
Towson, MD 21286-5811
Phone
(410) 449-4955
NPI assigned
Sep 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X ATG311 MD Primary

Addresses

Primary practice location

1220 E Joppa Rd BLDG B
Towson, MD 21286-5811

Mailing address

1220 E Joppa Rd BLDG B
Towson, MD 21286-5811
Phone (410) 449-4955

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
ATG311MDMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stover & Owsley, LLC CurrentSince Oct 2, 2022 Accepting new patients
Pivot Point Counseling, LLC CurrentSince Oct 2, 2022 Accepting new patients

Locations

1220 E Joppa Rd
#B
Towson, MD 21286
Phone (410) 343-9442

Organizations & group practices 2

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": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1861116360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E JOPPA RD BLDG B",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865811",
            "telephone_number": "410-449-4955",
            "fax_number": "443-787-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E JOPPA RD BLDG B",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865811",
            "telephone_number": "410-449-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "NIA",
        "name_prefix": "Ms.",
        "credential": "LGPAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "MD",
            "license": "ATG311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.