IndividualActive
Darrelle Willis, M.S.
NPI 1073706941 · Counselor · Jackson, TN
Darrelle Willis, M.S. is a Counselor provider in Jackson, TN (NPI 1073706941).
Provider details
- NPI number
- 1073706941
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- M.S.
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
45 Executive Dr
Jackson, TN 38305-2337
Phone: (731) 664-2083
Fax: (731) 664-1988
Street-level locationGet directions
Mailing address
103 Southlake Cir
Canton, MS 39046-5369
Registry dates
- Enumerated
- 2007-08-23
- Last updated
- 2021-03-15
- Certified
- 2021-03-15
Frequently asked questions
- What is Darrelle Willis's NPI number?
- Darrelle Willis's National Provider Identifier (NPI) is 1073706941, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Darrelle Willis's specialty?
- Darrelle Willis is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Darrelle Willis located?
- Darrelle Willis's practice location on file with NPPES is 45 Executive Dr, Jackson, TN 38305-2337.
- What is Darrelle Willis's phone number?
- The practice phone number listed in the NPPES registry for Darrelle Willis is (731) 664-2083.
- Is Darrelle Willis's NPI active?
- Yes — Darrelle Willis's NPI (1073706941) is active in the NPPES registry as of the last update on 2021-03-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.