BRIAN RONALD EDGAR WILLMER (NPI# 1639483035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639483035 |
| Entity Type | Individual |
| Full Name | BRIAN RONALD EDGAR WILLMER |
| Credential | LMHC |
| Practice Address |
275 W Broadway South Boston MA 02127-1943 |
| Mailing Address |
686 N Main St Brockton MA 02301-2444 |
| Practice Telephone | 6174648571 |
| Practice Fax Number | 6172699287 |
| Mailing Telephone | 5085870815 |
| Mailing Fax Number | 6178327437 |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2010-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6394 | MA | Behavioral Health & Social Service Providers |
| Street Address |
275 W BROADWAY |
| City | SOUTH BOSTON |
| State | MA |
| Zip Code | 02127-1943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093723652 | Catholic Charitable Bureau of The Archdiocesse of Boston, Inc. Dba | Home Health | 275 W Broadway, South Boston, MA 02127-1943 | 2006-08-03 |
| 1477167369 | Sharon Katina | Social Worker | 275 W Broadway, South Boston, MA 02127-1943 | 2020-09-08 |
| 1194209148 | Paul Brown | Social Worker | 275 W Broadway, South Boston, MA 02127-1943 | 2018-09-15 |
| 1306399431 | Elizabeth Hamilton Barney | Social Worker | 275 W Broadway, South Boston, MA 02127-1943 | 2016-07-25 |
| 1962795484 | Misty Heppler | Social Worker | 275 W Broadway, South Boston, MA 02127-1943 | 2011-05-17 |
| 1568473718 | Catholic Charitable Bureau of The Archdiocese of Boston, Inc.dba | Clinic/Center | 275 W Broadway, South Boston, MA 02127-1943 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370629 | Peaceful Healing Soul Counseling Center, LLC | Counselor | Online Therapy, Boston, MA 02127 | 2020-09-15 |
| 1568964914 | Phuong Luu | Nurse Practitioner | 606 E Fourth St, Unit 204, Boston, MA 02127 | 2018-03-01 |
| 1700304367 | Kelsey L Donovan | Physician Assistant | 431 E 3rd Street Apt 2, Boston, MA 02127 | 2017-09-05 |
| 1255873733 | Janet Villafane | Social Worker | 23 Mcdonough Way, 691, Boston, MA 02127 | 2016-11-15 |
| 1083088470 | Katie Ryan | Counselor | 8 Rev Burke Street #151, South Boston, MA 02127 | 2015-11-23 |
| 1184005514 | Keith A Lombard | Counselor | 1226a Columbia Rd., South Boston, MA 02127 | 2015-06-11 |
| 1609213917 | Nicole Ashley Vandermay | Student in an Organized Health Care Education/Training Program | 9 Woodward St, Apt. 3, Boston, MA 02127 | 2013-05-28 |
| 1922359777 | Elizabeth Raggi | Counselor | 49 L Street, South Boston, MA 02127 | 2012-09-19 |
| 1205181021 | Massachusetts General Hospital | General Acute Care Hospital | 256 West Sixth Street Apt 2, South Boston, MA 02127 | 2012-07-18 |
| 1154602126 | Madeline F Brisotti | Counselor | 8 Reverend Burke Steet, South Boston, MA 02127 | 2011-09-06 |
| Find all providers in zip 02127 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073171948 | Elizabeth K Doherty | Counselor | 664 Dorchester Ave, South Boston, MA 02127-3537 | 2019-06-05 |
| 1679099105 | Brett Stephen Dixon | Counselor | 1410 Columbia Rd Apt 16k, South Boston, MA 02127-4018 | 2017-08-16 |
| 1629217302 | Amy Donovan Matthews | Counselor | 174 Dorchester St, South Boston, MA 02127-2844 | 2009-02-19 |
| 1982850509 | Joshua Eben Putnam | Counselor | 167 M St, South Boston, MA 02127-4258 | 2008-08-14 |
| 1669696100 | Julie Lynn Barnes | Counselor | 666 Dorchester Ave, South Boston, MA 02127-3537 | 2007-04-13 |
| 1700890761 | Southside Community Services Board | Counselor | 424 Hamilton Blvd., South Boston, VA 24592 | 2006-07-27 |
| 1063072445 | Courtney Elizabeth Hoban | Counselor | 1226a Columbia Rd, South Boston, MA 02127-3920 | 2019-06-18 |
| 1285129072 | Kimberly Shanelle Hatchett | Counselor | 435 Main St, South Boston, VA 24592-3241 | 2018-06-25 |
| 1417462169 | Kathryn Elizabeth Fackina | Counselor | 210 Old Colony Ave, South Boston, MA 02127-2413 | 2017-12-04 |
| 1609312289 | Danielle L Pinals | Counselor | 1226 Columbia Rd # A, South Boston, MA 02127-3978 | 2017-01-06 |
| Find all providers in SOUTH BOSTON | ||||
| City | SOUTH BOSTON |
| Zip Code | 02127 |
Please comment or provide details below to improve the information on BRIAN RONALD EDGAR WILLMER.
| 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.