Organization Active NPI

Sierra Willis, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Toledo, OH
National Provider Identifier
1942908249
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SIERRA WILLIS, LLC
Practice address
5151 Monroe St Ste 246
Toledo, OH 43623-3461
Phone
(567) 686-2849
NPI assigned
Feb 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Authorized official

Name
Sierra WillisNPI 1386121556
Title
Ceo
Phone
(567) 686-2849

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5151 Monroe St Ste 246
Toledo, OH 43623-3461

Mailing address

3773 Heatherdowns Blvd
Toledo, OH 43614-3558
Phone (567) 686-2849

National Provider Directory

National Provider Directory

Locations

5151 Monroe St
Ste 246
Toledo, OH 43623
Phone (567) 686-2849

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1942908249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3773 HEATHERDOWNS BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436143558",
            "telephone_number": "567-686-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 MONROE ST STE 246",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233461",
            "telephone_number": "567-686-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA WILLIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "SIERRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "567-686-2849"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.