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CHANEE A WILLIS
NPI 1245874049
Marriage & Family Therapist in Washington, DC

Active since November 05, 2019PECOS Enrolled
2120 BLADENSBURG RD NE, WASHINGTON, DC 20018(202) 470-3080(202) 232-8494 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 9, 2026, Nov 5, 2019 (2 updates tracked since 2019).

About Chanee A Willis NPPES

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

CHANEE A WILLIS (NPI 1245874049) is an individual marriage & family therapist in Washington, District Of Columbia, licensed in District Of Columbia (LMFT200001455) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1245874049
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCHANEE A WILLIS
Location Address2120 BLADENSBURG RD NEWashington, DC 20018-1440
Mailing Address4 Atlantic St SwWashington, DC 20032-2350 · (202) 470-3080 · Fax (202) 232-8494
Phone(202) 470-3080
Fax(202) 232-8494
Sole ProprietorNo
Enumeration DateNovember 5, 2019
Last NPPES UpdateJuly 9, 20262 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1245874049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in DC · LMFT200001455✔ Licensed in MN · 3251
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
2120 BLADENSBURG RD NE, Washington, DC 20018
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Other Names 1

Former Name (1)Chanee Rudolph

Secondary Practice Location 1

Location 14 Atlantic St SWWashington, DC 20032-2350 · Phone (202) 470-3080 · Fax (202) 232-8494

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chanee A Willis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Chanee Willis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Of Hope Inc.
Same address
Federally Qualified Health Center (FQHC)
2120 BLADENSBURG RD NE
Washington, DC 20018
  • Reassigned Medicare billing, District of Columbia enrollment
  • 79 clinicians in this Medicare group
NPI 1487931465 (202) 540-9857

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

GABRIELLE BROWN REECE CNM, WHNP-BC, APRN
Advanced Practice Midwife
2120 BLADENSBURG RD NE
WASHINGTON, DC 20018
District of Columbia (202) 407-3080
TAYLOR CHRISTIE CARVER RN, CNM
Advanced Practice Midwife
2120 BLADENSBURG RD NE
WASHINGTON, DC 20018
District of Columbia (202) 540-9857
RESHATA MILLS
Midwife
2120 BLADENSBURG RD NE
WASHINGTON, DC 20018
District of Columbia (202) 540-9857
ETASHA CROWDER CNM
Advanced Practice Midwife
2120 BLADENSBURG RD NE
WASHINGTON, DC 20018
District of Columbia (202) 407-3080
COMMUNITY OF HOPE INC.
Advanced Practice Midwife
2120 BLADENSBURG RD NE
WASHINGTON, DC 20018
District of Columbia (202) 540-9857
BAYYINAH MUHAMMAD CNM, WHNP-BC, IBCLC
Advanced Practice Midwife
2120 BLADENSBURG RD NE
WASHINGTON, DC 20018
District of Columbia (202) 540-9857
KATIE DEPALMA CNM/WHNP-BC
Advanced Practice Midwife
2120 BLADENSBURG RD NE
WASHINGTON, DC 20018
District of Columbia (202) 540-9857
COMMUNITY OF HOPE INC.
Doula
2120 BLADENSBURG RD NE
WASHINGTON, DC 20018
District of Columbia (202) 540-9857

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 Chanee Willis's NPI number?

The NPI number for Chanee Willis is 1245874049. It was assigned to this individual provider in the NPPES registry on November 5, 2019. The provider is also known as Chanee Rudolph.

Where is Chanee Willis located?

Chanee Willis practices at 2120 Bladensburg Rd NE, Washington, DC 20018. The listed phone number is (202) 470-3080.

What is Chanee Willis's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Chanee Willis enrolled in Medicare?

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

Which organization bills Medicare for Chanee Willis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chanee Willis reassigns Medicare benefits to Community Of Hope Inc. (Washington, DC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Chanee Willis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Chanee Willis was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.