Active NPIIndividual provider

Kelley J Willison, MA, LMHC

Counselor, Mental Health in Gloucester, Massachusetts

NPI Number1083144075
Practice location
23 High St, Gloucester, MA 01930-1148
Fax
—
Last updated
October 21, 2021

Kelley Johnston Willison is a Counselor, Mental Health based in Gloucester, MA. Kelley Johnston Willison practices in Gloucester, MA and has the professional credentials of MA, LMHC. The NPI Number for Kelley Johnston Willison is 1083144075. The current practice location address for Kelley Johnston Willison is 23 High St, Gloucester, MA 01930-1148 and can be reached out via phone at 978-712-4922.

Provider Profile Details

NPI Number
1083144075
Provider Name
Kelley Johnston Willison
Credential
MA, LMHC
Provider Entity Type
Individual
Gender
Female
Address
23 High St, Gloucester, MA 01930-1148
Phone Number
978-712-4922
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
June 13, 2017
Last Update Date
October 21, 2021
Certification Date
October 21, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
23 High St
Gloucester, MA 01930-1148
Zip
01930-1148
Phone Number
978-712-4922
Gloucester, MA 01930Get directions →

Provider Business Mailing Address Details

Address
Po Box 7023
Gloucester, MA 01930-4623
City
Gloucester
State
MA
Zip
01930-4623
Phone Number
978-712-4922

License Information

Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kelley J Willison, MA, LMHC?

The NPI number of Kelley J Willison, MA, LMHC is 1083144075. It was assigned on June 13, 2017 and is currently active in the NPPES registry.

What is the specialty of Kelley J Willison, MA, LMHC?

Kelley J Willison, MA, LMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Kelley J Willison, MA, LMHC practice?

The practice location is 23 High St, Gloucester, MA 01930-1148. The office can be reached at 978-712-4922 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083144075 directly on the NPPES registry website.

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