Hayley Jane Willis, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

82609 Issued in TX

Practice address

21707 Seminole Oaks
San Antonio, TX 78261-2482

Phone

(210) 802-8937

NPI assigned

Dec 18, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• H.O.P.E. Youth and Family Development

  • Community/Behavioral Health Agency
  • San Antonio, TX
  • NPI 1972140887

  Mental Health

  NPD

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1972141182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 REESE STREET BLDG1285",
            "address_2": "#132",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78236",
            "telephone_number": "530-798-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21707 SEMINOLE OAKS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782612482",
            "telephone_number": "210-802-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "HAYLEY",
        "middle_name": "JANE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-18",
        "last_updated": "2023-11-27",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "82609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.hopedevelopmentllc.com/",
            "affiliation": "Y",
            "endpointDescription": "Business Web Site",
            "affiliationName": "H.O.P.E. Youth and Family Development",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "21707 Seminole Oaks",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782612482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ann Elisabeth Willis, LPTA
• Demetrius Jermaine Willis, MBA, MS, RD, LD, CPT
• Dennis Earl Willis, MD
• Evelyn L Willis, MSN. RN
• George Christopher Willis, MD
• Mary Kay Willis, SLPA
• Max Hugh Willis, PH.D.
• Roger Willis, M.D.
• Sean Willis, RN
• Tiffany Willis

• Mental Health Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.