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MINDY WASHBURN WILLIS
NPI 1306477658
Counselor - Addiction (Substance Use Disorder) in Dayton, OH

Active since January 27, 2020
5563 FAR HILLS AVE, DAYTON, OH 45429(937) 291-2300(937) 291-2303 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 17, 2022, Jan 27, 2020 (2 updates tracked since 2020).

About Mindy Washburn Willis NPPES

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

MINDY WASHBURN WILLIS (NPI 1306477658) is an individual addiction (substance use disorder) provider in Dayton, Ohio, licensed in Ohio (LCDCII.161846) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1306477658
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMINDY WASHBURN WILLIS
Location Address5563 FAR HILLS AVEDayton, OH 45429-2225
Mailing Address5563 Far Hills AveDayton, OH 45429-2225 · (937) 291-2300 · Fax (937) 291-2303
Phone(937) 291-2300
Fax(937) 291-2303
Sole ProprietorNo
Enumeration DateJanuary 27, 2020
Last NPPES UpdateOctober 16, 20252 updates tracked since enumeration
NPPES CertifiedOctober 16, 2025
✔ NPI 1306477658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · LCDCII.161846
5563 FAR HILLS AVE, Dayton, OH 45429
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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.

SHANNON GUNCKEL
Counselor (Addiction (Substance Use Disorder))
5563 FAR HILLS AVE
DAYTON, OH 45429
Montgomery County (937) 291-2300
RACHEAL ANN BRITTAIN CMS
Case Manager/Care Coordinator
5563 FAR HILLS AVE
DAYTON, OH 45429
Montgomery County (937) 291-2300
MR. JOSEPH SULLIVAN
Case Manager/Care Coordinator
5563 FAR HILLS AVE
DAYTON, OH 45429
Montgomery County (937) 291-2300
JACLYN GOFORTH
Case Manager/Care Coordinator
5563 FAR HILLS AVE
DAYTON, OH 45429
Montgomery County (937) 291-2300
KAREY SUE ANN PRINCE
Case Manager/Care Coordinator
5563 FAR HILLS AVE
DAYTON, OH 45429
Montgomery County (937) 291-2300
KAYLYNN MCMILLAM-SHAFFER
Case Manager/Care Coordinator
5563 FAR HILLS AVE
DAYTON, OH 45429
Montgomery County (937) 291-2300
MARTHINUS STRYDOM
Counselor (Addiction (Substance Use Disorder))
5563 FAR HILLS AVE
DAYTON, OH 45429
Montgomery County (937) 291-2300
LEXUS GWEN MURPHY
Case Management
5563 FAR HILLS AVE
DAYTON, OH 45429
Montgomery County (937) 291-2300

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 Mindy Washburn Willis's NPI number?

The NPI number for Mindy Washburn Willis is 1306477658. It was assigned to this individual provider in the NPPES registry on January 27, 2020.

Where is Mindy Washburn Willis located?

Mindy Washburn Willis practices at 5563 Far Hills Ave, Dayton, OH 45429. The listed phone number is (937) 291-2300.

What is Mindy Washburn Willis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mindy Washburn Willis was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.