Active NPI
Justin Jay Willey, LPC
- Mental Health Counselor
- Limon, CO
National Provider Identifier
1922975291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0011479
- Practice address
- 49030 Co-71
Limon, CO 80826-0001 - Phone
- (719) 775-9221
- NPI assigned
- Oct 21, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0011479 | CO | Primary |
Addresses
Primary practice location
49030 Co-71
Limon, CO 80826-0001
Mailing address
120 Highland Dr
Sterling, CO 80751-8665
Other practice location 1
12101 Highway 61
Sterling, CO 80751-8428
Phone (970) 521-5010
Other practice location 2
275 W US Highway 50
Canon City, CO 81212-6700
Phone (719) 275-4181
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0011479 | CO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761004800000",
"number": "1922975291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 HIGHLAND DR",
"city": "STERLING",
"state": "CO",
"postal_code": "807518665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49030 CO-71",
"city": "LIMON",
"state": "CO",
"postal_code": "808260001",
"telephone_number": "719-775-9221"
}
],
"practiceLocations": [
{
"address_1": "12101 Highway 61",
"address_purpose": "LOCATION",
"city": "Sterling",
"state": "CO",
"postal_code": "807518428",
"country_code": "US",
"telephone_number": "970-521-5010",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "275 W US Highway 50",
"address_purpose": "LOCATION",
"city": "Canon City",
"state": "CO",
"postal_code": "812126700",
"country_code": "US",
"telephone_number": "719-275-4181",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLEY",
"first_name": "JUSTIN",
"middle_name": "JAY",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-21",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "0011479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Limon, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.