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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DESTINY TAYLOR WILLIS
NPI 1194586768
Peer Specialist in Marysville, CA

Active since January 19, 2024
1128 YUBA ST, MARYSVILLE, CA 95901(530) 418-1001 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 2, 2026, Dec 18, 2025 (2 updates tracked since 2025).

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 Address1128 YUBA STMarysville, CA 95901-4831
Mailing Address1128 Yuba StMarysville, CA 95901-4831 · (530) 418-1001
Phone(530) 418-1001
Sole ProprietorYes
Enumeration DateJanuary 19, 2024
Last NPPES UpdateSeptember 2, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2026
✔ 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.
1128 YUBA ST, Marysville, CA 95901
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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.

GRACE SCOTT
Social Worker (Clinical)
1128 YUBA ST
MARYSVILLE, CA 95901
Yuba County (530) 418-1001
STEPHANIE DODGE
Rehabilitation Practitioner
1128 YUBA ST
MARYSVILLE, CA 95901
Yuba County (530) 418-1001
SHYAN PHILLIPS
Rehabilitation Practitioner
1128 YUBA ST
MARYSVILLE, CA 95901
Yuba County (530) 418-1001
MARISSA GLORIANNA RIVERA
Student in an Organized Health Care Education/Training Program
1128 YUBA ST
MARYSVILLE, CA 95901
Yuba County (530) 418-1001
SARA MARTINEZ
Social Worker (Clinical)
1128 YUBA ST
MARYSVILLE, CA 95901
Yuba County (530) 418-1001
LANI RAYMOND
Rehabilitation Practitioner
1128 YUBA ST
MARYSVILLE, CA 95901
Yuba County (530) 680-9584
KATELYNN N OWEN
Marriage & Family Therapist
1128 YUBA ST
MARYSVILLE, CA 95901
Yuba County (530) 418-1001
YOUTH FOR CHANGE
Clinic/Center (Adolescent and Children Mental Health)
1128 YUBA ST
MARYSVILLE, CA 95901
Yuba County (530) 418-1001

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 1128 Yuba St, Marysville, CA 95901. The listed phone number is (530) 418-1001.

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 September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.