Joanne Willis, LMFT

Individual provider Active NPI Marriage & Family Therapist · Cloverdale, CA

NPI 1982123543 · NPPES record last updated Mar 12, 2025

Key facts

NPI
1982123543
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
LMFT120460 (CA)
Practice address
6 Tarman Dr
Cloverdale, CA 95425-3932
Phone
(707) 894-4229
NPI assigned
Sep 14, 2017
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Marriage and Family Therapist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monica Perlman MD Inc (357 clinicians)

Practice addresses (Care Compare)

3900 5TH Ave
Suite 110
San Diego, CA 92103-3122
Phone (858) 554-1212

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240625000416 CA Practitioner - Marriage and Family Therapist 1052854569 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
LMFT120460CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Monica Perlman MD Inc. Current
since Jun 16, 2025
Accepting new patients

Locations

9850 Genesee Ave
Ste 320
La Jolla, CA 92037
Phone (858) 864-9800

3737 Moraga Ave
Ste B103
San Diego, CA 92117
Phone (858) 799-0855

3900 5th Ave
Ste 110
San Diego, CA 92103
Phone (619) 291-5474

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT120460 CA Yes

Addresses

Primary practice location

6 Tarman Dr
Cloverdale, CA 95425-3932

Mailing address

2655 Henley Pkwy Unit 511
Tracy, CA 95377-2214
Phone (209) 765-0950

Other providers in Cloverdale, CA

All providers in Cloverdale, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.