Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

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

Q: 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.

Q: What is Chanee Willis's specialty?

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

Q: When was this NPI record last updated?

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

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: July 19, 2026.

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

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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, and ordering and referring status from the CMS PECOS system.

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.