JOHN GLEN WILLIS MA LPC NPI 1700021425

NPI Information

NPI: 1700021425
Provider Name: JOHN GLEN WILLIS, MA, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1030 JOHNSON RD STE 286
GOLDEN, CO
ZIP 80401
Phone: (720) 220-4187
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John Glen Willis, MA, LPC is a mental health counselor in Golden, CO. John Glen Willis, MA, LPC NPI is 1700021425. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1030 JOHNSON RD STE 286
GOLDEN, CO
ZIP 80401-003
Phone: (720) 220-4187

The enumeration date for this NPI number is 12/9/2008 and was last updated on 5/10/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	6334	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	14467331	OTHER	COLORADO	CAQH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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