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IVY L WILLIS
NPI 1407410178
Counselor in South Euclid, OH

Active since April 27, 2019
4266 MONTICELLO BLVD, SOUTH EUCLID, OH 44121(216) 385-7770 Get Directions Write a Review

NPPES record last updated: April 27, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ivy L Willis NPPES

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

IVY L WILLIS (NPI 1407410178) is an individual counselor in South Euclid, Ohio and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1407410178
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameIVY L WILLIS
Location Address4266 MONTICELLO BLVDSouth Euclid, OH 44121-2815
Mailing Address3418 Hartwood RdCleveland Heights, OH 44112-3030 · (216) 644-9041
Phone(216) 385-7770
Sole ProprietorYes
Enumeration DateApril 27, 2019
✔ NPI 1407410178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
4266 MONTICELLO BLVD, South Euclid, OH 44121
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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 Ivy Willis's NPI number?

The NPI number for Ivy Willis is 1407410178. It was assigned to this individual provider in the NPPES registry on April 27, 2019.

Where is Ivy Willis located?

Ivy Willis practices at 4266 Monticello Blvd, South Euclid, OH 44121. The listed phone number is (216) 385-7770.

What is Ivy Willis's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Ivy Willis was last updated on April 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.