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EDWIN W WILLIS
NPI 1124561451
Counselor - Addiction (Substance Use Disorder) in Boston, MA

Active since November 18, 2016
774 ALBANY ST, BOSTON, MA 02118(617) 534-5613(617) 534-6171 Get Directions Write a Review

NPPES record last updated: November 18, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edwin W Willis NPPES

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

EDWIN W WILLIS (NPI 1124561451) is an individual addiction (substance use disorder) provider in Boston, Massachusetts, licensed in Massachusetts (1810 LADC1) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1124561451
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameEDWIN W WILLIS
Location Address774 ALBANY STBoston, MA 02118-2520
Mailing Address1010 Massachusetts AveBoston, MA 02118-2600 · (617) 419-3408 · Fax (617) 534-2611
Phone(617) 534-5613
Fax(617) 534-6171
Sole ProprietorYes
Enumeration DateNovember 18, 2016
✔ NPI 1124561451 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 MA · 1810 LADC1
774 ALBANY ST, Boston, MA 02118
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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.

SHAKIYA I GUERRA
Case Manager/Care Coordinator
774 ALBANY ST
BOSTON, MA 02118
Suffolk County (617) 534-6171
KERRY E POWER LCSW
Social Worker (Clinical)
774 ALBANY ST
BOSTON, MA 02118
Suffolk County (617) 534-5869
TRACEY D KING
Counselor (Addiction (Substance Use Disorder))
774 ALBANY ST
BOSTON, MA 02118
Suffolk County (617) 534-6171
BRITTNEY K WRIGHT
Case Manager/Care Coordinator
774 ALBANY ST
BOSTON, MA 02118
Suffolk County (857) 324-0998
BOSTON PUBLIC HEALTH COMMISSION
Public Health or Welfare
774 ALBANY ST
BOSTON, MA 02118
Suffolk County (617) 534-4212
MR. PATRICE AUGUSTIN
Case Manager/Care Coordinator
774 ALBANY ST
BOSTON, MA 02118
Suffolk County (617) 840-6389
DARRELL MOORE
Case Manager/Care Coordinator
774 ALBANY ST
BOSTON, MA 02118
Suffolk County (617) 534-4955
DAVID E MATTEI
Case Manager/Care Coordinator
774 ALBANY ST
BOSTON, MA 02118
Suffolk County (617) 534-6171

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 Edwin Willis's NPI number?

The NPI number for Edwin Willis is 1124561451. It was assigned to this individual provider in the NPPES registry on November 18, 2016.

Where is Edwin Willis located?

Edwin Willis practices at 774 Albany St, Boston, MA 02118. The listed phone number is (617) 534-5613.

What is Edwin 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 Edwin Willis was last updated on November 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.