What is Chan Willis's NPI number?

Chan Willis's National Provider Identifier (NPI) is 1134663818, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Chan Willis's specialty?

Chan Willis is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).

Where is Chan Willis located?

Chan Willis's practice location on file with NPPES is 3450 Highway 80 W, Jackson, MS 39209-7201.

What is Chan Willis's phone number?

The practice phone number listed in the NPPES registry for Chan Willis is (601) 321-2400.

Is Chan Willis's NPI active?

Yes — Chan Willis's NPI (1134663818) is active in the NPPES registry as of the last update on 2016-12-14.

IndividualActive

Chan Willis

NPI 1134663818 · Mental Health Counselor · Jackson, MS

Chan Willis is a Mental Health Counselor provider in Jackson, MS (NPI 1134663818).

Provider details

NPI number: 1134663818
Entity type: Individual
Primary specialty: Mental Health CounselorBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No
License: 0347 (MS)

Specialties & taxonomies

Mental Health CounselorPrimary101YM0800XLicense 0347 (MS)
Behavioral Health & Social Service Providers

Profile Score

Established profile(71/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
9 yrs in NPPES registry
Profile completeness38% of score
100% 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

3450 Highway 80 W

Jackson, MS 39209-7201

Phone: (601) 321-2400

Fax: (601) 321-2476

Street-level locationGet directions

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Mailing address