JOHN GLEN WILLIS (NPI# 1700021425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700021425 |
| Entity Type | Individual |
| Full Name | JOHN GLEN WILLIS |
| Credential | MA, LPC |
| Practice Address |
1030 Johnson Rd Ste 286 Golden CO 80401-6003 |
| Practice Telephone | 7202204187 |
| Mailing Telephone | 7202204187 |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2019-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6334 | CO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | CAQH | 14467331 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922355155 | John Churchill Willis IIi | Internal Medicine | 823 Weeden Island Dr, Niceville, FL 32578-3724 | 2012-08-07 |
| 1215093018 | John M Willis | Dentist | 6 Fundy Rd, Falmouth, ME 04105-1705 | 2006-12-28 |
| 1205891207 | John M Willis | Internal Medicine | 2800 E Broad St Ste 512, Mansfield, TX 76063-6417 | 2006-04-20 |
| 1356310577 | John Curtis Willis | Chiropractor | 305 Allegheny St, Richlands, VA 24641 | 2006-03-17 |
| 1548253172 | John A Willis | Orthopaedic Surgery | 130 N Street Ext, Hyannis, MA 02601-3825 | 2005-08-30 |
| 1063952190 | John Willis | Counselor | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2017-03-08 |
| 1205211208 | John Macphee Willis | Dentist | 160 E. Erie Ave, St. Christopher's Hospital for Children, Attn: Dental, Philadelphia, PA 19134 | 2015-07-21 |
| 1619393493 | John Willis | Pharmacist | 1401 Minnesota Ave, Libby, MT 59923-2309 | 2014-03-17 |
| 1356763791 | John Willis | Pharmacist | 6131 E Southern Ave, Mesa, AZ 85206-3732 | 2014-01-18 |
| 1275831703 | John Evan Willis | Nurse Practitioner | 4810 Whitesport Cir Sw, Suite 110, Huntsville, AL 35801-7419 | 2011-03-08 |
| Street Address |
1030 JOHNSON RD STE 286 |
| City | GOLDEN |
| State | CO |
| Zip Code | 80401-6003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315152 | Ruth Lucia Settak | Social Worker | 17301 W. Colfax Ave., Ste 200, Golden, CO 80401 | 2020-10-28 |
| 1811457088 | Evening Elegance LLC | Prosthetic/Orthotic Supplier | 14500 W Colfax Ave Unit 246, Lakewood, CO 80401 | 2019-03-22 |
| 1255853826 | Angela Kathryn Brickman | Behavior Technician | 714 Ridgeside Drive, Golden, CO 80401 | 2017-07-14 |
| 1710408240 | Catherine Camacho | Psychologist | 913 Arapahoe St, Golden, CO 80401 | 2017-07-06 |
| 1710420492 | Colorado Complete Urgent Care Physicians LLC | Clinic/Center | 17101 S Golden Rd., Golden, CO 80401 | 2016-11-29 |
| 1366991051 | Britta Marie Olson | Physical Therapist | 600 Golden Ridge Rd, Suite 130, Golden, CO 80401 | 2016-09-23 |
| 1003284209 | Maria Alta Mcvey | Dental Hygienist | 2305 Jackson St., Golden, CO 80401 | 2015-09-04 |
| 1548644479 | Christine Rodriguez | Dental Hygienist | 2305 Jackson Street, Golden, CO 80401 | 2015-07-09 |
| 1508285776 | Colorado Pain Practice, Pllc | Anesthesiology | 755 Heritage Road, Suite 100, Golden, CO 80401 | 2014-04-15 |
| 1942644844 | Golden Kids Dental | Dentist | 2421 Ford St., Golden, CO 80401 | 2013-04-22 |
| Find all providers in zip 80401 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902363617 | Sarah Elisabeth Bontrager | Counselor | 17301 W Colfax Ave Ste 200, Golden, CO 80401-3806 | 2019-02-28 |
| 1255896361 | Trisha Daly | Counselor | 12146 W 7th Pl, Golden, CO 80401-5913 | 2019-02-02 |
| 1285145821 | Aleya Littleton | Counselor | 710 10th St Ste 160, Golden, CO 80401-5835 | 2017-10-23 |
| 1801346119 | Nhcounseling | Counselor | 1113 Washington Ave, Ste 110, Golden, CO 80401-1142 | 2016-10-11 |
| 1497115349 | Katie Johanna Kelley | Counselor | 16224 W 61st Ave, Golden, CO 80403-7531 | 2016-03-03 |
| 1043681885 | Ashley Young | Counselor | 720 Iowa St, Golden, CO 80403-1332 | 2015-10-19 |
| 1104055441 | Jacey M Tramutt | Counselor | 5399 Highway 93, Golden, CO 80403-8021 | 2009-07-08 |
| 1407986615 | Sarah Margaret Barkley | Counselor | 1115 Washington Ave, 2nd Fl, Suite A, Golden, CO 80401-1142 | 2007-03-06 |
| 1629125554 | Elaine Hupping O'reilly | Counselor | 603 Park Point Dr, Suite 160, Golden, CO 80401-5715 | 2007-01-04 |
| 1265070833 | Alexandra Hinton | Counselor | 410 9th St, Golden, CO 80401-1066 | 2019-12-13 |
| Find all providers in GOLDEN | ||||
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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.