1. Home
  2. Directory
  3. Florida
  4. Lakeland
  5. Counselor
  6. NPI Profile

DONALD FRED WILLETS LMHC
NPI 1073508305
Counselor - Mental Health in Lakeland, FL

Active since September 13, 2005Opted out of Medicare · through Apr 25, 2028
4951 SOUTHFORK DR, LAKELAND, FL 33813(863) 614-0034(863) 937-0284 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Donald Fred Willets Lmhc NPPES

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

DONALD FRED WILLETS LMHC (NPI 1073508305) is an individual mental health provider in Lakeland, Florida, licensed in Florida (MH 2300) and active in the NPI registry since September 2005. He has opted out of Medicare through April 25, 2028.

NPPES Registry Identity

NPI1073508305
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDONALD FRED WILLETSCredential: LMHC
Location Address4951 SOUTHFORK DRLakeland, FL 33813
Mailing AddressPo Box 91872Lakeland, FL 33804 · (863) 614-0034 · Fax (863) 937-0284
Phone(863) 614-0034
Fax(863) 937-0284
Sole ProprietorYes
Enumeration DateSeptember 13, 2005
Last NPPES UpdateJuly 21, 2022
✔ NPI 1073508305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH 2300
4951 SOUTHFORK DR, Lakeland, FL 33813
Open in Google Maps ↗

Other Identifiers 1

OtherMH2300FL · State Lic.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Donald Fred Willets Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 25, 2024 through April 25, 2028.

Opt-Out Effective DateApril 25, 2024
Opt-Out In Effect ThroughApril 25, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Donald Willets's NPI number?

The NPI number for Donald Willets is 1073508305. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Where is Donald Willets located?

Donald Willets practices at 4951 Southfork Dr, Lakeland, FL 33813. The listed phone number is (863) 614-0034.

What is Donald Willets's specialty?

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

Is Donald Willets enrolled in Medicare?

No. Donald Willets has opted out of Medicare through April 25, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Donald Willets accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Donald Willets as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Donald Willets was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.