1. Home
  2. Directory
  3. Georgia
  4. Lithonia
  5. Counselor
  6. NPI Profile

MR. WILLIE H BANNISTER LPC
NPI 1215354022
Counselor - Professional in Lithonia, GA

Active since March 19, 2014PECOS Enrolled
1954 WOODLOT TRL, LITHONIA, GA 30058(678) 637-8562 Get Directions Write a Review

NPPES record last updated: March 19, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Willie H Bannister Lpc NPPES

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

MR. WILLIE H BANNISTER LPC (NPI 1215354022) is an individual professional provider in Lithonia, Georgia, licensed in Georgia (LPC003808) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1215354022
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. WILLIE H BANNISTERCredential: LPC
Location Address1954 WOODLOT TRLLithonia, GA 30058-5484
Mailing Address1954 Woodlot TrlLithonia, GA 30058-5484
Phone(678) 637-8562
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateMarch 19, 2014
✔ NPI 1215354022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC003808
1954 WOODLOT TRL, Lithonia, GA 30058
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Willie H Bannister Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921507591
PECOS Enrollment IDI20250820000340
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.

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 Willie Bannister's NPI number?

The NPI number for Willie Bannister is 1215354022. It was assigned to this individual provider in the NPPES registry on March 19, 2014.

Where is Willie Bannister located?

Willie Bannister practices at 1954 Woodlot Trl, Lithonia, GA 30058. The listed phone number is (678) 637-8562.

What is Willie Bannister's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Willie Bannister enrolled in Medicare?

Yes. Willie Bannister is registered in the Medicare PECOS enrollment system.

What insurance does Willie Bannister accept?

Health plans from CareSource and UnitedHealthcare list Willie Bannister as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Willie Bannister was last updated on March 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.