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MS. JOHANNA HERMINA WILLEMSE BA, MHP
NPI 1043406044
Counselor - Mental Health in Champaign, IL

Active since September 24, 2007PECOS Enrolled
202 W PARK AVE, CHAMPAIGN, IL 61820(217) 373-2436 Get Directions Write a Review

NPPES record last updated: September 24, 2007. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Ms. Johanna Hermina Willemse Ba, Mhp NPPES

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

MS. JOHANNA HERMINA WILLEMSE BA, MHP (NPI 1043406044) is an individual mental health provider in Champaign, Illinois and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043406044
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. JOHANNA HERMINA WILLEMSECredential: BA, MHP
Location Address202 W PARK AVEChampaign, IL 61820-3929
Mailing Address202 W Park AveChampaign, IL 61820-3929 · (217) 373-2436
Phone(217) 373-2436
Sole ProprietorYes
Enumeration DateSeptember 24, 2007
✔ NPI 1043406044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
202 W PARK AVE, Champaign, IL 61820
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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)

Ms. Johanna Hermina Willemse Ba, Mhp 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.

MISS JOSEPHINE F KALIPENI
Rehabilitation Counselor
202 W PARK AVE
CHAMPAIGN, IL 61820
Champaign County (217) 373-2428
MARK HUANG ZINGER LSW
Social Worker
202 W PARK AVE
CHAMPAIGN, IL 61820
Champaign County (217) 373-2430
COURTNEY STREET BSW
Counselor
202 W PARK AVE
CHAMPAIGN, IL 61820
Champaign County (217) 693-4613
CALEB STEVEN PARKER HIGH SCHOOL DIPLOMA
Rehabilitation Counselor
202 W PARK AVE
CHAMPAIGN, IL 61820
Champaign County (217) 355-1697
DYLAN PATRICK PRENDERGAST
Counselor (Mental Health)
202 W PARK AVE
CHAMPAIGN, IL 61820
Champaign County (217) 373-2430
MISS MARIA F HUANCA
Social Worker
202 W PARK AVE
CHAMPAIGN, IL 61820
Champaign County (217) 398-8080
MS. JACQUELINE CHRISTINE THOMAS
Social Worker
202 W PARK AVE
CHAMPAIGN, IL 61820
Champaign County (217) 373-2430
SANDRA KINNEY
Licensed Practical Nurse
202 W PARK AVE
CHAMPAIGN, IL 61820
Champaign County (217) 373-2430

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 Johanna Willemse's NPI number?

The NPI number for Johanna Willemse is 1043406044. It was assigned to this individual provider in the NPPES registry on September 24, 2007.

Where is Johanna Willemse located?

Johanna Willemse practices at 202 W Park Ave, Champaign, IL 61820. The listed phone number is (217) 373-2436.

What is Johanna Willemse's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Johanna Willemse enrolled in Medicare?

Yes. Johanna Willemse is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Johanna Willemse was last updated on September 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.