1. Home
  2. Directory
  3. Michigan
  4. Port Huron
  5. Adult Companion
  6. NPI Profile

KIMBERLY DEBORAH WILLIS CPSS
NPI 1275869125
Adult Companion in Port Huron, MI

Active since October 28, 2009
3111 ELECTRIC AVE, PORT HURON, MI 48060(810) 966-7821 Get Directions Write a Review

NPPES record last updated: October 28, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kimberly Deborah Willis Cpss NPPES

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

KIMBERLY DEBORAH WILLIS CPSS (NPI 1275869125) is an individual adult companion provider in Port Huron, Michigan and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1275869125
Entity TypeIndividualFemale
Primary Taxonomy372600000X
Provider Legal NameKIMBERLY DEBORAH WILLISCredential: CPSS
Location Address3111 ELECTRIC AVEPort Huron, MI 48060-8127
Mailing Address7209 Lester StLexington, MI 48450-8847 · (810) 966-7821
Phone(810) 966-7821
Sole ProprietorNo
Enumeration DateOctober 28, 2009
✔ NPI 1275869125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdult CompanionNursing Service Related Providers
Taxonomy Code372600000X
Definition

An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

3111 ELECTRIC AVE, Port Huron, MI 48060
Open in Google Maps ↗

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.

MRS. CHERI JESSUP MSW
Social Worker (Clinical)
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900
MRS. THERESA LYNN MCKAY LMSW
Social Worker (Clinical)
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 966-3576
MOHAMMAD SAEED MD
Psychiatry & Neurology (Geriatric Psychiatry)
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900
MS. MARY MARGARET FRANCISCO
Counselor (Mental Health)
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 987-7050
MRS. DAWN MARIE GUZDIAL LLBSW
Case Manager/Care Coordinator
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 966-2570
MARY CATHERINE DANIEL LMSW
Social Worker
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 966-3596
KRISTIN LYNN ANDERSON BSW
Social Worker
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 966-3532
BELINDA HASELSCHWERDT
Specialist
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900

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 Kimberly Willis's NPI number?

The NPI number for Kimberly Willis is 1275869125. It was assigned to this individual provider in the NPPES registry on October 28, 2009.

Where is Kimberly Willis located?

Kimberly Willis practices at 3111 Electric Ave, Port Huron, MI 48060. The listed phone number is (810) 966-7821.

What is Kimberly Willis's specialty?

The primary specialty registered for this NPI is Adult Companion with taxonomy code 372600000X.

When was this NPI record last updated?

The NPPES record for Kimberly Willis was last updated on October 28, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.