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KEELON WILLIS
NPI 1093586125
Counselor - Mental Health in Columbus, OH

Active since January 09, 2024
2211 LAKE CLUB DR, COLUMBUS, OH 43232(614) 704-5224 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keelon Willis NPPES

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

KEELON WILLIS (NPI 1093586125) is an individual mental health provider in Columbus, Ohio and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1093586125
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKEELON WILLIS
Location Address2211 LAKE CLUB DRColumbus, OH 43232-3204
Mailing Address2211 Lake Club DrColumbus, OH 43232-3204
Phone(614) 704-5224
Sole ProprietorNo
Enumeration DateJanuary 9, 2024
NPPES CertifiedJanuary 9, 2024
✔ NPI 1093586125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2211 LAKE CLUB DR, Columbus, OH 43232
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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.

JOHN EDWARD CHAPPELL
Behavior Technician
2211 LAKE CLUB DR
COLUMBUS, OH 43232
Franklin County (614) 488-1083
KELON BROADUS
Health and Wellness Coach
2211 LAKE CLUB DR
COLUMBUS, OH 43232
Franklin County (614) 704-5224
JALAYA LADAY MURPHY
Community Health Worker
2211 LAKE CLUB DR
COLUMBUS, OH 43232
Franklin County (614) 816-4556
FRANK BROWN QMHS
Counselor (Mental Health)
2211 LAKE CLUB DR
COLUMBUS, OH 43232
Franklin County (614) 488-1083
JASON DAMOND BURTON JR.
Case Manager/Care Coordinator
2211 LAKE CLUB DR
COLUMBUS, OH 43232
Franklin County (614) 704-5224
DENZELL M MATLOCK SR.
Health and Wellness Coach
2211 LAKE CLUB DR
COLUMBUS, OH 43232
Franklin County (614) 816-4556
CARDELIA DENISE SHANKS
Community/Behavioral Health
2211 LAKE CLUB DR
COLUMBUS, OH 43232
Franklin County (614) 704-5224
JOSEPH SPEIGHTS
Community Health Worker
2211 LAKE CLUB DR
COLUMBUS, OH 43232
Franklin County (614) 805-2995

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 Keelon Willis's NPI number?

The NPI number for Keelon Willis is 1093586125. It was assigned to this individual provider in the NPPES registry on January 9, 2024.

Where is Keelon Willis located?

Keelon Willis practices at 2211 Lake Club Dr, Columbus, OH 43232. The listed phone number is (614) 704-5224.

What is Keelon Willis's specialty?

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

When was this NPI record last updated?

The NPPES record for Keelon Willis was last updated on January 9, 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.