MR. JAMES R WILLIS LMSW
NPI 1417779448
Social Worker - Clinical in Southfield, MI

Q: What is James Willis's NPI number?

The NPI number for James Willis is 1417779448. It was assigned to this individual provider in the NPPES registry on October 30, 2024.

Q: What is James Willis's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for James Willis was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 30, 2024PECOS Enrolled

29699 SOUTHFIELD RD, SOUTHFIELD, MI 48076(248) 559-5000(248) 559-0773 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Mr. James R Willis Lmsw NPPES

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

MR. JAMES R WILLIS LMSW (NPI 1417779448) is an individual clinical provider in Southfield, Michigan, licensed in Michigan (6801078616) and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1417779448

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. JAMES R WILLISCredential: LMSW

Location Address29699 SOUTHFIELD RDSouthfield, MI 48076-2038

Mailing Address29699 Southfield RdSouthfield, MI 48076-2038 · (248) 559-5000 · Fax (248) 559-0773

Phone(248) 559-5000

Fax(248) 559-0773

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateOctober 30, 2024

NPPES CertifiedOctober 30, 2024

✔ NPI 1417779448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MI · 6801078616

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedSocial WorkerTaxonomy 104100000X · License 6801078616 (MI)

29699 SOUTHFIELD RD, Southfield, MI 48076

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. James R Willis Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608351929

PECOS Enrollment IDI20260403000773

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 James Willis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gesher Human Services

Same address

Adult Mental Health

29699 SOUTHFIELD RD
Southfield, MI 48076

Reassigned Medicare billing, Michigan enrollment

NPI 1043344385 (248) 233-4280

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48076 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $58.04 – $177.36

Typical copayment $0.00 (range $14.51 – $44.34)

Most-billed visit code NA

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GESHER HUMAN SERVICES

Clinic/Center (Adult Mental Health)