MR. CHAD RILEY WILLIS JR. (NPI# 1184190324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184190324 |
| Entity Type | Individual |
| Full Name | MR. CHAD RILEY WILLIS JR. |
| Credential | LPC |
| Practice Address |
803 W Main St Payson AZ 85541-4993 |
| Practice Telephone | 9288215439 |
| Mailing Telephone | 9288215439 |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2018-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-17301 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053598599 | Chad C Willis | Chiropractor | 1565 E Leighfield Dr Ste 150, Meridian, ID 83646-5371 | 2008-01-28 |
| 1184087959 | Chad Willis | Student in an Organized Health Care Education/Training Program | 4301 W Markham St, Slot 531, Little Rock, AR 72205-7101 | 2016-03-30 |
| 1750432043 | Chad D Willis | Emergency Medicine | 3214 Kethley Rd, Shawnee, OK 74804-9625 | 2007-01-15 |
| 1114907185 | Chad Eldon Willis | Optometrist | 113 Lielmanis Ave, Hurlburt Field, FL 32544-5613 | 2006-01-18 |
| Street Address |
803 W MAIN ST |
| City | PAYSON |
| State | AZ |
| Zip Code | 85541-4993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174019376 | Debra Shewey | Counselor | 803 W Main St, Payson, AZ 85541-4993 | 2018-07-10 |
| 1548709173 | Community Bridges, Inc. | Clinical Medical Laboratory | 803 W Main St, Payson, AZ 85541-4993 | 2017-02-15 |
| 1396001525 | Community Bridges, Inc | Clinical Medical Laboratory | 803 W Main St, Payson, AZ 85541-4993 | 2012-04-02 |
| 1912144973 | Marjorie J Strickland | Counselor | 803 W Main St, Payson, AZ 85541-4993 | 2009-01-13 |
| 1548416514 | Community Bridges, Inc | Community/Behavioral Health | 803 W Main St, Payson, AZ 85541-4993 | 2008-08-11 |
| 1205092608 | Community Bridges, Inc. | Clinical Medical Laboratory | 803 W Main St, Payson, AZ 85541 | 2008-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447805130 | Melissa Marie Avery | Registered Nurse | 903 Az-260, Payson, AZ 85541 | 2019-08-08 |
| 1952803710 | Payson Orthodontics | Dentist | 902 S Beeline Hwy, Payson, AZ 85541 | 2018-03-07 |
| 1568844181 | Banner Home Care Arizona | Home Health | 708 E Route 260 Ste A1, Payson, AZ 85541 | 2015-06-19 |
| 1063893626 | Sage Counseling, Inc. | Community/Behavioral Health | 1100 N. Beeline Hwy, Suite F, Payson, AZ 85541 | 2015-06-09 |
| 1053712059 | Garry Gordon | Homeopath | 600 N Beeline Hwy, Payson, AZ 85541 | 2014-09-09 |
| 1821406901 | Monica Nestich | Physical Therapy Assistant | 708 E. State Hwy 260, Payson, AZ 85541 | 2014-08-01 |
| 1841601523 | Megan Fragale Saalfrank | Pharmacist | 401 E. Highway 260, Payson, AZ 85541 | 2014-05-15 |
| 1750791836 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 600 E. Highway 260, Suite 4 & 5, Payson, AZ 85541 | 2014-04-29 |
| 1164775169 | Kc's Home Health Care LLC of Payson | Home Health | 114 E. Highway 260, Payson, AZ 85541 | 2012-10-16 |
| 1598014458 | Ivan D. Mclaws, Dpm | Podiatrist | 200 East Lone Pine Dr., Payson, AZ 85541 | 2012-09-06 |
| Find all providers in zip 85541 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457447161 | Herbert Arthur Schwager | Counselor | 203 N Manzanita Dr # B, Payson, AZ 85541-4417 | 2006-10-04 |
| 1689171654 | Lori Lynn Davenport | Counselor | 404 W Aero Dr, Payson, AZ 85541-5407 | 2018-04-06 |
| 1275899643 | Scott Innes | Counselor | 1172 E 100 N Ste 10, Payson, UT 84651-1691 | 2012-04-10 |
| 1083785240 | Thomas W. Hazen | Counselor | 1175 E 100 N, Suite 206, Payson, UT 84651-1665 | 2006-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588967 | Suzanne Basco | Counselor | 27072 N 175th Dr, Surprise, AZ 85387-1094 | 2020-11-04 |
| 1568063154 | Cleshaun A Dubose | Counselor | 6344 E Brown Rd Ste 104, Mesa, AZ 85205-4843 | 2020-11-02 |
| 1730789694 | Maryann Potter | Counselor | 4315 W Faull Dr, New River, AZ 85087-4908 | 2020-10-29 |
| 1477153377 | Karen Lee Williams | Counselor | 7655 Eest Redfield Rd, Suite 4, Scottsdale, AZ 85260 | 2020-10-29 |
| 1417557729 | Psychological and Consulting Services LLC | Counselor | 331 N 1st Ave Ste 102, Phoenix, AZ 85003-4528 | 2020-10-27 |
| 1154928059 | Jennifer Thompson | Counselor | 1310 W Stottler Dr, Chandler, AZ 85224-2716 | 2020-10-04 |
| 1235736208 | Yovana Apodaca | Counselor | 8758 E Mountain Spring Dr, Tucson, AZ 85747-5659 | 2020-10-02 |
| 1639785751 | Andre E Matthews | Counselor | 12600 N 113th Ave Ste B8, Youngtown, AZ 85363-1163 | 2020-09-23 |
| 1497361786 | Patricia L Pritchett | Counselor | 8893 N Lessing Ct, Tucson, AZ 85742-4443 | 2020-09-22 |
| 1861008203 | Entelechy Holdings | Counselor | 2383 E Springfield Pl, Chandler, AZ 85286-1206 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.