ANNA MARLENA WILLIS (NPI# 1568610350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568610350 |
| Entity Type | Individual |
| Full Name | ANNA MARLENA WILLIS |
| Credential | CASAC-T |
| Practice Address |
224 Main St Goshen NY 10924-2157 |
| Practice Telephone | 8452945888 |
| Practice Fax Number | 8452941402 |
| Mailing Telephone | 8452945888 |
| Mailing Fax Number | 8452941402 |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2008-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
22531 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598273799 | Anna Willis | Pharmacist | 2200 Brookmeade Dr, Columbia, TN 38401-3994 | 2018-01-22 |
| 1952652729 | Anna Elizabeth Willis | Physician Assistant | 799 E Hampden Ave, Suite 430, Englewood, CO 80113-2700 | 2012-09-19 |
| Street Address |
224 MAIN ST |
| City | GOSHEN |
| State | NY |
| Zip Code | 10924-2157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700254349 | Mary Lerouge | Counselor | 224 Main St, Goshen, NY 10924-2157 | 2015-09-14 |
| 1972983310 | Lisa Hughes | Counselor | 224 Main St, Goshen, NY 10924-2157 | 2015-06-01 |
| 1134530025 | Barbara St. George | Counselor | 224 Main St, Goshen, NY 10924-2157 | 2014-05-13 |
| 1225450786 | Miriam Schoenwald | Counselor | 224 Main St, Goshen, NY 10924-2157 | 2014-01-17 |
| 1821435819 | Michelle Kristen Mooney | Counselor | 224 Main St, Goshen, NY 10924-2157 | 2013-05-30 |
| 1912298068 | Louis Russo | Counselor | 224 Main St, Goshen, NY 10924-2157 | 2011-04-25 |
| 1619115532 | Laura Jean Dumser | Counselor | 224 Main St, Goshen, NY 10924-2157 | 2009-01-30 |
| 1083864607 | Margaret Mary O'connell-duffy | Social Worker | 224 Main St, 1st Floor, Goshen, NY 10924-2157 | 2008-09-19 |
| 1184873457 | Margaret Pagan Hassler | Registered Nurse | 224 Main St, Goshen, NY 10924-2157 | 2008-09-11 |
| 1356598247 | Ann Elizabeth Dunlevy | Counselor | 224 Main St, Goshen, NY 10924-2157 | 2008-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487127239 | Yessica Amadis | Counselor | 27 Matthews Street, Goshen, NY 10924 | 2019-01-04 |
| 1649752668 | Lucinda Figueroa | Social Worker | Orange Intensive Day Treatment @ Ouboces Ah Ed Center, 4 Harriman Drive, Goshen, NY 10924 | 2018-09-06 |
| 1619499365 | Grace Catherine Stieh | Speech-Language Pathologist | 1997 Ny-17m #9, Goshen, NY 10924 | 2017-07-14 |
| 1255738902 | Linda S. Miller | Behavioral Analyst | 60 Erie Street #6, Suite 304, Goshen, NY 10924 | 2014-11-24 |
| 1275963894 | Ellen Martin | Speech-Language Pathologist | 9a Maplewood Terrace, Goshen, NY 10924 | 2013-11-18 |
| 1578803854 | Shirley Johnson | Social Worker | 3 Hatfield Lane Valley Behavioral Medicine, Suite 1, Goshen, NY 10924 | 2013-02-22 |
| 1689933566 | Gloria Sanabria | Licensed Practical Nurse | 252 Main St., Wellness Home Care, Goshen, NY 10924 | 2012-05-11 |
| 1780955377 | Karen Ann Walczak | Registered Nurse | 56 Gibson Rd., Goshen, NY 10924 | 2012-01-13 |
| 1699067884 | Cherie Lee Meci | Occupational Therapy Assistant | 52 Gibson Rd., Rcce, Goshen, NY 10924 | 2011-05-06 |
| 1053617597 | James Francis Kohut | Social Worker | Rcpc 53 Gibson Road, Goshen, NY 10924 | 2011-02-01 |
| Find all providers in zip 10924 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487127239 | Yessica Amadis | Counselor | 27 Matthews Street, Goshen, NY 10924 | 2019-01-04 |
| 1972874006 | Christine Marie Richardson | Counselor | 27 Matthews St, Goshen, NY 10924-1962 | 2012-01-20 |
| 1356467682 | Corinna Fodaski Stewart | Counselor | 434 Silver Lake Rd, Goshen, VT 05733-8471 | 2007-03-21 |
| 1912949413 | Keith D Jodway | Counselor | 209 Tanglewood Dr Apt C, Goshen, IN 46526-1718 | 2006-06-11 |
| 1780283317 | Donald Spafford | Counselor | 6722 State Route 132, Goshen, OH 45122-9249 | 2020-10-24 |
| 1427687045 | Susan Lynn Davidson | Counselor | 27 Matthews St, Goshen, NY 10924-1962 | 2020-04-06 |
| 1053953570 | Tina M Jodin | Counselor | Catholic Charities, 27 Matthews St., Goshen, NY 10924 | 2019-10-16 |
| 1033760327 | Gabrielle Marie Scala | Counselor | 27 Matthews St, Goshen, NY 10924-1962 | 2019-09-27 |
| 1558927764 | Maple City Counseling Center | Counselor | 209 Tanglewood Dr Apt C, Goshen, IN 46526-1718 | 2019-05-13 |
| 1376003533 | Yvonne Renee Riege | Counselor | 114 N Main St, Goshen, IN 46526-3207 | 2019-03-23 |
| Find all providers in GOSHEN | ||||
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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.