MS. MARY WILLIS LPC
NPI 1083700652
Counselor - Professional in Roanoke, VA

Q: What is Mary Willis's NPI number?

The NPI number for Mary Willis is 1083700652. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Q: What is Mary 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 Mary Willis was last updated on July 9, 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.

Active since October 04, 2006

4656 BRAMBLETON AVENUE, ROANOKE, VA 24018(540) 772-8043(540) 772-8242 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Ms. Mary Willis Lpc NPPES

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

MS. MARY WILLIS LPC (NPI 1083700652) is an individual professional provider in Roanoke, Virginia, licensed in Virginia (0701003372) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1083700652

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMS. MARY WILLISCredential: LPC

Location Address4656 BRAMBLETON AVENUERoanoke, VA 24018

Mailing Address755 Independence BlvdChristiansburg, VA 24073 · (540) 392-0711

Phone(540) 772-8043

Fax(540) 772-8242

Sole ProprietorYes

Enumeration DateOctober 4, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1083700652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in VA · 0701003372

4656 BRAMBLETON AVENUE, Roanoke, VA 24018

Open in Google Maps ↗

Other Identifiers 4

Other191801VA · Anthem Bcbs

Other087515MVA · Southern Health

Other7684485TX · Aetna

Other488754VA · Value Options

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 Mary Willis's NPI number?

The NPI number for Mary Willis is 1083700652. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Mary Willis located?

Mary Willis practices at 4656 Brambleton Avenue, Roanoke, VA 24018. The listed phone number is (540) 772-8043.

What is Mary Willis's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Willis was last updated on July 9, 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.