TIAIRA MIKAL WILLIS
NPI 1033621917
Counselor - Professional in Monroe, LA

Q: What is Tiaira Willis's NPI number?

The NPI number for Tiaira Willis is 1033621917. It was assigned to this individual provider in the NPPES registry on October 31, 2017.

Q: What is Tiaira Willis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tiaira Willis was last updated on June 10, 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.

Active since October 31, 2017PECOS Enrolled

3100 KILPATRICK BLVD STE 100, MONROE, LA 71201(318) 325-8050 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 10, 2024, Dec 9, 2021, Mar 5, 2020 and 2 more (5 updates tracked since 2017).

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About Tiaira Mikal Willis NPPES

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

TIAIRA MIKAL WILLIS (NPI 1033621917) is an individual professional provider in Monroe, Louisiana, licensed in Louisiana (7684) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033621917

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameTIAIRA MIKAL WILLIS

Location Address3100 KILPATRICK BLVD STE 100Monroe, LA 71201-5156

Mailing Address3100 Kilpatrick Blvd Ste 100Monroe, LA 71201-5156 · (318) 325-8050

Phone(318) 325-8050

Sole ProprietorYes

Enumeration DateOctober 31, 2017

Last NPPES UpdateJune 10, 20245 updates tracked since enumeration

NPPES CertifiedJune 10, 2024

✔ NPI 1033621917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in LA · 7684

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 90118 (TX)

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

3100 KILPATRICK BLVD STE 100, Monroe, LA 71201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiaira Mikal Willis 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 19

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

JOYCE ROCHELLE KENNEY

Case Manager/Care Coordinator