MRS. KATHLEEN ANNE WILLS (NPI# 1689912248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689912248 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN ANNE WILLS |
| Other Name | MRS. KATHLEEN ANNE WILLS |
| Credential | B.A. |
| Practice Address |
631 Woodside Rd Redwood City CA 94061-3847 |
| Practice Telephone | 8058909247 |
| Mailing Telephone | 8058909247 |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2020-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
94024326 | CA | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245618156 | Kathleen Wills | Registered Nurse | 7055 Samuel Morse Dr, Suite 200, Columbia, MD 21046-3439 | 2015-05-12 |
| Street Address |
631 WOODSIDE RD |
| City | REDWOOD CITY |
| State | CA |
| Zip Code | 94061-3847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346390200 | Daytop Village Inc | Case Management | 631 Woodside Rd, Redwood City, CA 94061-3847 | 2007-01-11 |
| 1164997276 | Rachel Michele Cleveland | Marriage & Family Therapist | 631 Woodside Rd, Redwood City, CA 94061-3847 | 2018-10-05 |
| 1790060580 | Lanae Jaimez | Counselor | 631 Woodside Rd, Redwood City, CA 94061-3847 | 2011-10-12 |
| 1184909038 | Varinia M Peridon | Counselor | 631 Woodside Rd, Redwood City, CA 94061-3847 | 2011-10-11 |
| 1033493036 | Danielle West Vandeventer | Counselor | 631 Woodside Rd, Redwood City, CA 94061-3847 | 2011-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962044933 | Klaire Marie Finlayson | Technician | 628 Iris Street, Redwood City, CA 94061 | 2019-10-11 |
| 1568010148 | Shieh and Luo Dental Group | Dentist | 801 Woodside Rd #3, Suite #3, Redwood City, CA 94061 | 2019-08-28 |
| 1518433432 | Jacqueline Tumalan | Lactation Consultant, Non-RN | 267 Vera Avenue, Redwood City, CA 94061 | 2018-10-18 |
| 1508242314 | Althea Rogers | Registered Nurse | 1695 Hampton Ave, Redwood City, CA 94061 | 2015-08-04 |
| 1073881975 | Rebecca Lynn Cordero | Marriage & Family Therapist | 1690 Woodside Road, Suite 112, Redwood City, CA 94061 | 2011-12-06 |
| 1720362379 | Brendan James Murray | Counselor | 1614 Hudson St #203, Redwood City, CA 94061 | 2011-09-30 |
| 1770800245 | Gerald Cera | Internal Medicine | 1011 Whitehall Ln., Redwood City, CA 94061 | 2010-04-23 |
| 1144407743 | Pamela Burford | Case Manager/Care Coordinator | 2648 International Bld, Oakland, CA 94061 | 2008-01-25 |
| 1235347634 | Charles Robert Carter | Dentist | 1391 Woodside Rd Suite 210, Redwood City, CA 94061 | 2007-05-18 |
| 1255437521 | Doreen Weissman Landes | Marriage & Family Therapist | 61 Renato Court, Suite 20, Redwood City, CA 94061 | 2006-09-15 |
| Find all providers in zip 94061 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366803793 | Erin Elizabeth Davis | Counselor | 1645 Sierra St, Redwood City, CA 94061-2713 | 2016-03-12 |
| 1396014882 | Leobardo Navarro | Counselor | 822 Allerton St Apt 2, Redwood City, CA 94063-1350 | 2011-12-29 |
| 1720362379 | Brendan James Murray | Counselor | 1614 Hudson St #203, Redwood City, CA 94061 | 2011-09-30 |
| 1902192974 | Mariana Garcia | Counselor | 500 Allerton Street, Redwood City, CA 94062 | 2011-06-28 |
| 1619098365 | Maribel Paloma M. Fuentes | Counselor | 3756 Florence St, Redwood City, CA 94063-4418 | 2007-04-02 |
| 1205433166 | Pamela Marie Lococo | Counselor | 500 Allerton St, Redwood City, CA 94063-1519 | 2020-10-05 |
| 1205442175 | Edgar Ivan Cruz | Counselor | 500 Allerton St, Redwood City, CA 94063-1519 | 2020-09-16 |
| 1588222707 | Sachet S Simon | Counselor | 3789 Hoover St, Redwood City, CA 94063-4504 | 2019-06-03 |
| 1316407851 | Jenna Brooke Cowen | Counselor | 500 Allerton St, Redwood City, CA 94063-1519 | 2019-03-21 |
| 1376001248 | Martha Maldonado-clark | Counselor | 500 Allerton St, Redwood City, CA 94063 | 2019-03-08 |
| Find all providers in REDWOOD CITY | ||||
| City | REDWOOD CITY |
| Zip Code | 94061 |
Please comment or provide details below to improve the information on MRS. KATHLEEN ANNE WILLS.
| 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.