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DESTINY TAYLOR WILLIS
NPI 1194586768
Peer Specialist in Marysville, CA

Active since January 19, 2024
1764 LINDA AVE, APT 2, MARYSVILLE, CA 95901(530) 649-4426 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Destiny Taylor Willis NPPES

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

DESTINY TAYLOR WILLIS (NPI 1194586768) is an individual peer specialist in Marysville, California and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1194586768
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameDESTINY TAYLOR WILLIS
Location Address1764 LINDA AVE, APT 2Marysville, CA 95901
Mailing Address990 Klamath Ln Ste 9Yuba City, CA 95993-8978 · (916) 413-4153
Phone(530) 649-4426
Sole ProprietorYes
Enumeration DateJanuary 19, 2024
Last NPPES UpdateDecember 18, 2025
NPPES CertifiedDecember 18, 2025
✔ NPI 1194586768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1764 LINDA AVE, Marysville, CA 95901
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Other Providers at the Same Location NPPES

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

HAILEY SLOAN
Behavior Technician
1764 LINDA AVE, APT 2
LINDA, CA 95901
Yuba County (916) 715-0377

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 Destiny Willis's NPI number?

The NPI number for Destiny Willis is 1194586768. It was assigned to this individual provider in the NPPES registry on January 19, 2024.

Where is Destiny Willis located?

Destiny Willis practices at 1764 Linda Ave Apt 2, Marysville, CA 95901. The listed phone number is (530) 649-4426.

What is Destiny Willis's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Destiny Willis was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.