JENNIFER WILLIS (NPI# 1356859847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356859847 |
| Entity Type | Individual |
| Full Name | JENNIFER WILLIS |
| Practice Address |
3100 Euclid Ave Cleveland OH 44115-2508 |
| Practice Telephone | 2163614400 |
| Practice Fax Number | 2163612340 |
| Mailing Telephone | 2163614400 |
| Mailing Fax Number | 2163612340 |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2018-01-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659766970 | Jennifer Cena Willis | Registered Nurse | 6389 Marbella Ln, Eastvale, CA 91752-7313 | 2015-04-02 |
| 1023368081 | Jennifer Ray Willis | Social Worker | 700 Lampton Ln, Mcalester, OK 74501-7028 | 2012-09-17 |
| 1124306543 | Jennifer Willis | Contractor | 6060 N Central Expy Ste 500, Dallas, TX 75206-5209 | 2011-08-02 |
| 1104864255 | Jennifer Beth Willis | Social Worker | 2103 Golf Course Road Se, Suite A, Rio Rancho, NM 87124-2071 | 2006-06-02 |
| 1427043983 | Jennifer Tricia Willis | Nurse Anesthetist, Certified Registered | 2608 Crest Valley Drive, Conyers, GA 30094 | 2005-09-12 |
| 1841815453 | Jennifer Willis | Pharmacist | 2400 Mountain Dr Ste 104, Hoover, AL 35226-1569 | 2020-06-09 |
| 1982249199 | Jennifer Willis | Massage Therapist | 5 Morgan Hwy Ste 4, Scranton, PA 18508-2641 | 2019-11-12 |
| 1598268724 | Jennifer Stewart Willis | Counselor | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2018-03-14 |
| 1831578277 | Jennifer Willis | Physical Therapy Assistant | 1 Donham Plz Fl 4, Middletown, OH 45042-1932 | 2015-05-19 |
| 1740671205 | Jennifer Willis | Registered Nurse | 424 Savannah Rd, Lewes, DE 19958-1462 | 2015-02-05 |
| Street Address |
3100 EUCLID AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44115-2508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528035631 | Positive Education Program | Residential Treatment Facility, Emotionally Disturbed Children | 3100 Euclid Ave, Cleveland, OH 44115-2508 | 2006-03-07 |
| 1295335057 | Alexis Bynoe | Counselor | 3100 Euclid Ave, Cleveland, OH 44115-2508 | 2020-10-29 |
| 1245849504 | Angela Restifo | Counselor | 3100 Euclid Ave, Cleveland, OH 44115-2508 | 2020-07-23 |
| 1649888306 | Hannah Andrews | Counselor | 3100 Euclid Ave, Cleveland, OH 44115-2508 | 2020-07-20 |
| 1164040416 | Courtney Brugh | Counselor | 3100 Euclid Ave, Cleveland, OH 44115-2508 | 2020-07-13 |
| 1780209346 | Britni Jenkins | Counselor | 3100 Euclid Ave, Cleveland, OH 44115-2508 | 2020-06-10 |
| 1891321477 | Erika Wynn | Counselor | 3100 Euclid Ave, Cleveland, OH 44115-2508 | 2020-03-16 |
| 1679109235 | Isaiah Mcqueen | Counselor | 3100 Euclid Ave, Cleveland, OH 44115-2508 | 2020-03-16 |
| 1558995134 | Michael Phillips | Counselor | 3100 Euclid Ave, Cleveland, OH 44115-2508 | 2020-02-24 |
| 1194359778 | Rian Hanadnalla | Counselor | 3100 Euclid Ave, Cleveland, OH 44115-2508 | 2020-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117299 | Ann Marie Louise Melinz | Counselor | 2525 West 22nd Street, Cleveland, OH 44115 | 2020-09-03 |
| 1881231850 | Steven Kelly | Case Management | 3500 Carnegie Ave., Cleveland, OH 44115 | 2019-12-09 |
| 1649821422 | Larry Hollimon | Technician | 2320 East 30th Street, Apt #1304, Cleveland, OH 44115 | 2019-09-24 |
| 1306332408 | Tyler Milam | Counselor | 2334 Prospect Ave., 400, Cleveland, OH 44115 | 2018-07-02 |
| 1780108019 | Victoria Charles | Registered Nurse | 2500 E. 22nd St, Cleveland, OH 44115 | 2017-07-28 |
| 1528580511 | Randol Jamel Kennedy | Internal Medicine | 2351 East 22nd Street Suite 338 W, St. Vincent Charity Medical Center, Cleveland, OH 44115 | 2017-07-11 |
| 1508393422 | Gang Anthony Lu | Dentist | 1110 Euclid Ave Ste 202, Cleveland, OH 44115 | 2017-05-23 |
| 1093116501 | Megan Shiles | Psychologist | 2675 East 30th St., Cleveland, OH 44115 | 2014-09-16 |
| 1003224577 | Efewongbe Benedicta Oleghe | Internal Medicine | 2351 E 22nd Street, St Vincent's Charity Medical Center, Cleveland, OH 44115 | 2014-07-29 |
| 1982032074 | Andrew Winchester | Social Worker | 2500 Carnegie Ave, Cleveland, OH 44115 | 2013-10-29 |
| Find all providers in zip 44115 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203246 | Kimberly Fuller, Lisw, LLC | Counselor | 2291 W 38th St, Cleveland, OH 44113-3867 | 2020-10-19 |
| 1255930467 | Jessica Becka LLC | Counselor | 5206 Tillman Ave, Cleveland, OH 44102-2248 | 2020-10-19 |
| 1629675541 | Shayna Mell | Counselor | 4542 Wilburn Dr, Cleveland, OH 44121-3863 | 2020-10-04 |
| 1316552649 | Monisa Ramseur | Counselor | 2800 Euclid Ave Ste 335, Cleveland, OH 44115-2496 | 2020-09-14 |
| 1164031076 | Michele R Princeton | Counselor | 3846 E 65th St, Cleveland, OH 44105-3560 | 2020-07-27 |
| 1700407517 | Cornerstone Behavioral Health LLC | Counselor | 814 E 185th Street, Suite 300, Cleveland, OH 44119 | 2020-05-04 |
| 1811522337 | Mary Cassidy | Counselor | 4128 Lorain Ave, Cleveland, OH 44113-3719 | 2020-03-04 |
| 1285272963 | Theophilus Nikia Williams | Counselor | 3521 W 54th St, Cleveland, OH 44102-5709 | 2019-12-13 |
| 1467098822 | Jordan Community Residential | Counselor | 2231 N Taylor Rd, Cleveland, OH 44112-3044 | 2019-11-20 |
| 1285275529 | Anchor Warrior Center | Counselor | 3505 Adkisson Dr Nw Ste 156, Cleveland, TN 37312-6823 | 2019-10-07 |
| Find all providers in CLEVELAND | ||||
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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.