Individual provider Active NPI

Alexondra Willis, MA

  • Marriage & Family Therapist
  • Portland, OR
National Provider Identifier
1881404606
Registry record updated May 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
R10600 Issued in OR
Practice address
7739 SW Capitol Hwy Ste 260
Portland, OR 97219-2571
Phone
(541) 640-0016
NPI assigned
Jan 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X R10600 OR Primary

Addresses

Primary practice location

7739 SW Capitol Hwy Ste 260
Portland, OR 97219-2571

Mailing address

7739 SW Capitol Hwy Ste 260
Portland, OR 97219-2571

Other names 1

  • Ally Willis Other name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
R10600ORMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
True You Therapy & Wellness LLC CurrentSince May 25, 2025 Accepting new patients
Willis Wellness Therapy, LLC Marriage & Family Therapist CurrentSince Apr 1, 2025 Accepting new patients

Locations

7739 SW Capitol Hwy
Ste 260
Portland, OR 97219
Phone (541) 640-0016

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

NPI Registry JSON

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748044800000",
    "number": "1881404606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7739 SW CAPITOL HWY STE 260",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972192571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7739 SW CAPITOL HWY STE 260",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972192571",
            "telephone_number": "541-640-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "ALEXONDRA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-05-24",
        "certification_date": "2025-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "R10600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLY",
            "last_name": "WILLIS",
            "credential": "MA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.