Carlene D. Willis, LMHCA

Primary specialty

CounselorTaxonomy code 101Y00000X

License

MHC00227 Issued in RI

Practice address

124 Beech Ave
Tiverton, RI 02878-1412

Phone

(401) 662-3143

NPI assigned

May 5, 2021

Last updated

Dec 10, 2025By 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

State licenses

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1871176958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 BEECH AVE",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "028781412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 BEECH AVE",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "028781412",
            "telephone_number": "401-662-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "CARLENE",
        "middle_name": "D.",
        "credential": "LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "RI",
            "license": "MHC00227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University Orthopedics, Inc.
• Jonpaul Vanregenmorter, DDS
• Walgreen Co (Walgreens #19470)
• Linda J Wheeler, LMT
• Elyse Wilkie
• Cody Thomas Zygmont, MSN, NP-C

• Counselor in Tiverton, RI
• Providers in Tiverton, RI by specialty
• Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.