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BARRY WILLIS
NPI 1043174881
Counselor - Addiction (Substance Use Disorder) in Renton, WA

Active since December 15, 2025
1412 SW 43RD ST STE 140, RENTON, WA 98057(425) 264-0750 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Barry Willis NPPES

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

BARRY WILLIS (NPI 1043174881) is an individual addiction (substance use disorder) provider in Renton, Washington, licensed in Washington (CDPT.CO.70033973) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1043174881
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameBARRY WILLIS
Location Address1412 SW 43RD ST STE 140Renton, WA 98057-4803
Mailing Address1412 Sw 43rd St Ste 140Renton, WA 98057-4803 · (425) 264-0750
Phone(425) 264-0750
Sole ProprietorNo
Enumeration DateDecember 15, 2025
NPPES CertifiedDecember 15, 2025
✔ NPI 1043174881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · CDPT.CO.70033973
1412 SW 43RD ST STE 140, Renton, WA 98057
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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.

CAROLINE B REESE RN
Registered Nurse
1412 SW 43RD ST STE 140
RENTON, WA 98057
King County (425) 264-0750
FRANCISCO BARRERA PA-C
Physician Assistant
1412 SW 43RD ST STE 140
RENTON, WA 98057
King County (425) 264-0750
ELIZABETH BLAIR NEWMAN SUDPT
Student in an Organized Health Care Education/Training Program
1412 SW 43RD ST STE 140
RENTON, WA 98057
King County (425) 264-0750
LAVELLE HORNE
Case Manager/Care Coordinator
1412 SW 43RD ST STE 140
RENTON, WA 98057
King County (425) 264-0750
TSZ WING CHAN
Technician
1412 SW 43RD ST STE 140
RENTON, WA 98057
King County (425) 264-0750
MARY ANN LACOURSIERE SUDP
Counselor (Addiction (Substance Use Disorder))
1412 SW 43RD ST STE 140
RENTON, WA 98057
King County (425) 264-0750
SIERRA LYNN EZRRE
Case Manager/Care Coordinator
1412 SW 43RD ST STE 140
RENTON, WA 98057
King County (425) 264-0750
MS. CATHY HUNTER
Counselor (Addiction (Substance Use Disorder))
1412 SW 43RD ST STE 140
RENTON, WA 98057
King County (205) 563-7409

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 Barry Willis's NPI number?

The NPI number for Barry Willis is 1043174881. It was assigned to this individual provider in the NPPES registry on December 15, 2025.

Where is Barry Willis located?

Barry Willis practices at 1412 SW 43rd St Ste 140, Renton, WA 98057. The listed phone number is (425) 264-0750.

What is Barry Willis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Barry Willis was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.