KEVIN LAMONT WILLIS (NPI# 1508355496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508355496 |
Entity Type | Individual |
Full Name | KEVIN LAMONT WILLIS |
Practice Address |
795 Fletcher Ln Hayward CA 94544-1008 |
Practice Telephone | 5102478300 |
Mailing Telephone | 5102478300 |
Enumeration Date | 2018-05-07 |
Last Update Date | 2018-05-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700919776 | Kevin J Willis | Family Medicine | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2007-03-13 |
1174510937 | Kevin Willis | Radiology | 99 Highway 37, Toms River, NJ 08755-6423 | 2005-10-05 |
Street Address |
795 FLETCHER LN |
City | HAYWARD |
State | CA |
Zip Code | 94544-1008 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952522898 | Shelley Leann O'sullivan | Counselor | 795 Fletcher Ln, Hayward, CA 94544-1008 | 2007-05-01 |
1205437597 | Elizabeth Kok | Nurse's Aide | 795 Fletcher Ln, Hayward, CA 94544-1008 | 2020-11-04 |
1295332138 | Tammy Bollinger | Counselor | 795 Fletcher Ln, Hayward, CA 94544-1008 | 2020-10-05 |
1619574563 | Jasleen Dutt | Licensed Vocational Nurse | 795 Fletcher Ln, Hayward, CA 94544-1008 | 2020-10-05 |
1487267779 | Casey Henning | Physician Assistant | 795 Fletcher Ln, Hayward, CA 94544-1008 | 2020-08-26 |
1568075869 | Veronica Wire | Physician Assistant | 795 Fletcher Ln, Hayward, CA 94544-1008 | 2020-08-26 |
1407469877 | Nalee Silapasay | Spec/Tech, Health Info | 795 Fletcher Ln, Hayward, CA 94544-1008 | 2020-08-26 |
1972116267 | Donna Lefao | Spec/Tech, Health Info | 795 Fletcher Ln, Hayward, CA 94544-1008 | 2020-08-26 |
1821611849 | Lateisha Smith | Licensed Vocational Nurse | 795 Fletcher Ln, Hayward, CA 94544-1008 | 2020-05-26 |
1578192324 | Melissa Noriega | Counselor | 795 Fletcher Ln, Hayward, CA 94544-1008 | 2020-04-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659845147 | Yves Richard Preval | Respiratory Therapist, Registered | 29843 Baltic Ct, Hayward, CA 94544 | 2019-01-17 |
1578044764 | Dionisia Maria Inocencio | Psychologist | 24823 Soto Rd, Hayward, CA 94544 | 2018-08-24 |
1235642307 | Ana Cecilia Contreras | Counselor | 550 Berry Ave, 1, Hayward, CA 94544 | 2017-11-13 |
1528580990 | Mind Fitness Center | Counselor | 225 West. Winton Ave, Suite 202d, Hayward, CA 94544 | 2017-07-07 |
1831628262 | Edith Mcneal | Counselor | 31518 Medinah St., Hayward, CA 94544 | 2017-06-08 |
1629456520 | Kevin Porciuncula | Family Medicine | 1251 W Tennyson Rd Ste 4, Hayward, CA 94544 | 2015-05-12 |
1104226273 | Mohamed Conteh | Social Worker | 555 Sycamore Avenue #4, Hayward, CA 94544 | 2014-08-26 |
1386993558 | Jose Angel Gonzalez Jr. | Counselor | 107 Jackson St., Hayward, CA 94544 | 2012-09-04 |
1003171828 | Alameda County Public Health Nursing | Public Health or Welfare | 24085 Amador, Hayward, CA 94544 | 2012-07-09 |
1114208907 | Building Opportunities for Self Sufficiency | Community/Behavioral Health | 730 #8 Bartlett Ave, Hayward, CA 94544 | 2011-09-07 |
Find all providers in zip 94544 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043840523 | Trinae Porter | Counselor | 26603 Gading Rd Apt 226, Hayward, CA 94544-3632 | 2020-01-23 |
1265992622 | Aaron Ulysses Chandler | Counselor | 107 Jackson St # 9232, Hayward, CA 94544-1948 | 2019-03-21 |
1518424183 | Rachel Chinn | Counselor | 22254 Main St, Hayward, CA 94541-4005 | 2019-03-01 |
1003301474 | Gabriela Rodriguez | Counselor | 26574 Flamingo Ave, Hayward, CA 94544-3164 | 2018-06-27 |
1235642307 | Ana Cecilia Contreras | Counselor | 550 Berry Ave, 1, Hayward, CA 94544 | 2017-11-13 |
1417478389 | James Steven Quinn | Counselor | 590 B Street, Hayward, CA 94541 | 2017-06-30 |
1831628262 | Edith Mcneal | Counselor | 31518 Medinah St., Hayward, CA 94544 | 2017-06-08 |
1760911739 | David Patrick Mcguinness | Counselor | 490 B Street, Hayward, CA 94541 | 2017-06-05 |
1376078295 | Nanette Francois | Counselor | 22505 Woodroe Avenue, Hayward, CA 94541-3410 | 2017-04-28 |
1801343132 | Allison Marie Kendrick | Counselor | 23219 Sally Ct, Hayward, CA 94541-3505 | 2016-09-02 |
Find all providers in HAYWARD |
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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.