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MRS. BETTY L WILLIS MA, LPC
NPI 1013219666
Counselor - Professional in Salem, OR

Active since December 01, 2010PECOS Enrolled
4890 32ND AVE SE, SALEM, OR 97317(504) 371-7393 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 17, 2024, Apr 2, 2020 (2 updates tracked since 2020).

About Mrs. Betty L Willis Ma, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. BETTY L WILLIS MA, LPC (NPI 1013219666) is an individual professional provider in Salem, Oregon, licensed in Oregon (C3349) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013219666
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. BETTY L WILLISCredential: MA, LPC
Location Address4890 32ND AVE SESalem, OR 97317-9350
Mailing Address4890 32nd Ave SeSalem, OR 97317-9350 · (503) 851-3128
Phone(504) 371-7393
Sole ProprietorNo
Enumeration DateDecember 1, 2010
Last NPPES UpdateJuly 17, 20242 updates tracked since enumeration
NPPES CertifiedJuly 17, 2024
✔ NPI 1013219666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · C3349
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
4890 32ND AVE SE, Salem, OR 97317
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Betty L Willis Ma, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DELLA M RADKE QMHA
Behavior Analyst
4890 32ND AVE SE
SALEM, OR 97317
Marion County (503) 588-5647
ALAN KEITH GUSTAFSON
Community Health Worker
4890 32ND AVE SE
SALEM, OR 97317
Marion County (503) 588-5647
CLARA EDMONDS
Counselor (Mental Health)
4890 32ND AVE SE
SALEM, OR 97317
Marion County (503) 588-5647
CODY ALLYN MASK
Community Health Worker
4890 32ND AVE SE
SALEM, OR 97317
Marion County (503) 588-5647
MIGUEL GONZALEZ MS,OBLPCT LPC INTERN
Counselor (Mental Health)
4890 32ND AVE SE
SALEM, OR 97317
Marion County (503) 588-5647
DARA BENTON
Case Manager/Care Coordinator
4890 32ND AVE SE
SALEM, OR 97317
Marion County (503) 588-5647
KIMBERLY ANNE MARIE BOYD
Case Manager/Care Coordinator
4890 32ND AVE SE
SALEM, OR 97317
Marion County (503) 588-5647
CHRISTIAN COMMUNITY PLACEMENT CENTER
Community/Behavioral Health
4890 32ND AVE SE
SALEM, OR 97317
Marion County (503) 588-5647

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Betty Willis's NPI number?

The NPI number for Betty Willis is 1013219666. It was assigned to this individual provider in the NPPES registry on December 1, 2010.

Where is Betty Willis located?

Betty Willis practices at 4890 32nd Ave SE, Salem, OR 97317. The listed phone number is (504) 371-7393.

What is Betty Willis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Betty Willis enrolled in Medicare?

Yes. Betty Willis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Betty Willis was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.