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MS. CHARLYNN ANN WILLIS LMHC
NPI 1134838436
Counselor - Mental Health in Montrose, NY

Active since November 16, 2022PECOS Enrolled
2125 ALBANY POST RD, MONTROSE, NY 10548(917) 558-2169 Get Directions Write a Review

NPPES record last updated: November 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Charlynn Ann Willis Lmhc NPPES

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

MS. CHARLYNN ANN WILLIS LMHC (NPI 1134838436) is an individual mental health provider in Montrose, New York, licensed in New York (09531-01) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1134838436
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. CHARLYNN ANN WILLISCredential: LMHC
Location Address2125 ALBANY POST RDMontrose, NY 10548-1447
Mailing Address33 Welcher AvePeekskill, NY 10566-5638 · (917) 558-2169
Phone(917) 558-2169
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateNovember 16, 2022
NPPES CertifiedNovember 10, 2022
✔ NPI 1134838436 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 NY · 09531-01
2125 ALBANY POST RD, Montrose, NY 10548
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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. Charlynn Ann Willis Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022457951
PECOS Enrollment IDI20240411002955
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROXEN INC.
Durable Medical Equipment & Medical Supplies
2125 ALBANY POST RD
MONTROSE, NY 10548
Westchester County (914) 424-4629
DR. STUART N LANDESBERG DC
Chiropractor
2125 ALBANY POST RD
MONTROSE, NY 10548
Westchester County (914) 734-9500

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 Charlynn Willis's NPI number?

The NPI number for Charlynn Willis is 1134838436. It was assigned to this individual provider in the NPPES registry on November 16, 2022.

Where is Charlynn Willis located?

Charlynn Willis practices at 2125 Albany Post Rd, Montrose, NY 10548. The listed phone number is (917) 558-2169.

What is Charlynn Willis's specialty?

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

Is Charlynn Willis enrolled in Medicare?

Yes. Charlynn Willis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charlynn Willis was last updated on November 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.