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
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240625000416 | CA | Practitioner - Marriage and Family Therapist | 1052854569 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT120460 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monica Perlman MD Inc. | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Christiane M Swartz
- Molly Katherine Theriault
- Amanda Ward
- Beverly D. Westenberg
- Elizabeth Adrienne Willis
- James David Wood Jr.
All providers in Cloverdale, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.