MINDY WASHBURN WILLIS (NPI# 1306477658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306477658 |
| Entity Type | Individual |
| Full Name | MINDY WASHBURN WILLIS |
| Credential | CDCA |
| Practice Address |
519 Xenia Ave Dayton OH 45410-1823 |
| Practice Telephone | 9373693020 |
| Mailing Telephone | 9373693020 |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-01-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDCA171634 | OH | Behavioral Health & Social Service Providers |
| Street Address |
519 XENIA AVE |
| City | DAYTON |
| State | OH |
| Zip Code | 45410-1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376010801 | Yolanda D Howard | Counselor | 519 Xenia Ave, Dayton, OH 45410 | 2018-11-02 |
| 1639709918 | Antonio King | Counselor | 519 Xenia Ave, Dayton, OH 45410-1823 | 2020-01-25 |
| 1912547225 | Malik Young | Counselor | 519 Xenia Ave, Dayton, OH 45410-1823 | 2020-01-14 |
| 1154963635 | Ashley N Onyia | Counselor | 519 Xenia Ave, Dayton, OH 45410-1823 | 2019-10-16 |
| 1679115984 | Ashley Marie Adams | Licensed Practical Nurse | 519 Xenia Ave, Dayton, OH 45410-1823 | 2019-10-09 |
| 1528530862 | Imani Alyshia Level | Counselor | 519 Xenia Ave, Dayton, OH 45410-1823 | 2018-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265713713 | Amber Howard | Counselor | 1500 Coventry Rd, Dayton, OH 45410 | 2011-08-29 |
| 1386815207 | Heather Lynne Waggoner | Social Worker | 600 Wayne Avenue, Dayton, OH 45410 | 2008-03-19 |
| 1104973882 | Byron G Epley Dds Inc | Dentist | 709 Xenia Ave, Dayton, OH 45410 | 2007-01-04 |
| 1720569346 | Jennifer Marie Howell | Social Worker | 732 Beckman Street, Dayton, OH 45410 | 2018-08-22 |
| 1720572829 | Malinda Kirk | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410 | 2018-06-21 |
| 1861986168 | Taiyana Mickey | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410 | 2018-06-20 |
| 1427542182 | Tanisha Reynolds | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410 | 2018-06-17 |
| 1033606892 | Brittni Wilkinson | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410 | 2018-04-17 |
| 1881198612 | Jacob Sauer | Counselor | 600 Wayne Ave, Dayton, OH 45410 | 2018-03-19 |
| 1295186898 | Stephanie Louise Weigel | Nurse Practitioner | 600 Wayne Avenue, Dayton, OH 45410 | 2016-06-24 |
| Find all providers in zip 45410 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271546 | Laura Frericks | Counselor | 4577 Frederick Pike Apt D, Dayton, OH 45414-3940 | 2020-10-05 |
| 1578170056 | Taylor Katherine Bevins | Counselor | 856 Hyde Park Dr, Dayton, OH 45429-5840 | 2020-09-28 |
| 1528689676 | Yvonne Marie Randel | Counselor | 519 County Road 4011, Dayton, TX 77535-7386 | 2020-04-29 |
| 1538789284 | Shannon Davis Kaufman | Counselor | National Youth Advocate Program, 1020 Woodman Drive Suite 330, Dayton, OH 45432 | 2020-04-23 |
| 1942833389 | Colleen Stevens | Counselor | 955 Sweeney Drive, Dayton, OH 45458 | 2020-02-13 |
| 1477190312 | Tewanna Hawkins | Counselor | 4352 Catalina Ave, Dayton, OH 45416-1302 | 2019-12-10 |
| 1588206718 | Iris Marie Blanchard | Counselor | 329 Imogene Rd, Dayton, OH 45405-5208 | 2019-10-09 |
| 1891345559 | Larry S Baxter IIi | Counselor | 612 Gramont Ave, Dayton, OH 45402-5439 | 2019-09-16 |
| 1992354286 | Eden E Mcdonald | Counselor | 1592 Joselin Rd, Dayton, OH 45432-3647 | 2019-09-09 |
| 1730746942 | Kimberly Billingsley | Counselor | 212 N Orchard Ave, Dayton, OH 45417-2453 | 2019-05-22 |
| Find all providers in DAYTON | ||||
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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.