Julie Glass Willingham, MSAC, LCDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

6687 Issued in TX

Practice address

6115 Camp Bowie Blvd Ste 220
Fort Worth, TX 76116-5543

Phone

(888) 734-2289

NPI assigned

Feb 7, 2024

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

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 and National Provider Directory roles.

• Arise Recovery Centers of America, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fort Worth, TX
  • NPI 1629580287
  NPD

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1891559159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 ANITA AVE",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482435",
            "telephone_number": "469-516-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 CAMP BOWIE BLVD STE 220",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165543",
            "telephone_number": "888-734-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLINGHAM",
        "first_name": "JULIE",
        "middle_name": "GLASS",
        "credential": "MSAC, LCDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "6687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viviane Fanang Williamson, RN
• Tamara Williard, SLP,MA,CCC-SLP
• Katrina L Willie-Musoma, MD
• Lisa Beth Williford, MD
• Julia M. Willingham, MD
• Tracey Willingham, LMSW
• Jared Willis
• Jennifer Stewart Willis, LPC
• Lillian Willis
• Linda Willis, MS CCC/SLP

• Addiction (Substance Use Disorder) Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.