JACQUELINE VERNADE WILLIS LCDC II
NPI 1477938223
Counselor - Addiction (Substance Use Disorder) in Akron, OH

Q: What is Jacqueline Willis's NPI number?

The NPI number for Jacqueline Willis is 1477938223. It was assigned to this individual provider in the NPPES registry on July 22, 2015.

Q: What is Jacqueline Willis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Willis was last updated on April 3, 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 July 22, 2015

725 E MARKET ST, AKRON, OH 44305(330) 434-4141 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 3, 2024, Jul 10, 2023, Jun 15, 2023 and 1 more (4 updates tracked since 2022).

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About Jacqueline Vernade Willis Lcdc Ii NPPES

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

JACQUELINE VERNADE WILLIS LCDC II (NPI 1477938223) is an individual addiction (substance use disorder) provider in Akron, Ohio, licensed in Ohio (162419) and active in the NPI registry since July 2015. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1477938223

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameJACQUELINE VERNADE WILLISCredential: LCDC II

Location Address725 E MARKET STAkron, OH 44305-2421

Mailing Address615 Elsinore Pl Ste 200Cincinnati, OH 45202-1457 · (833) 510-4357

Phone(330) 434-4141

Sole ProprietorNo

Enumeration DateJuly 22, 2015

Last NPPES UpdateApril 3, 20244 updates tracked since enumeration

NPPES CertifiedApril 3, 2024

✔ NPI 1477938223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in OH · 162419

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License 162419 (OH)

725 E MARKET ST, Akron, OH 44305

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Secondary Practice Locations 2

Location 1999 N Main StAkron, OH 44310-1456 · Phone (833) 510-4357

Location 23135 Euclid AveCleveland, OH 44115-2531 · Phone (216) 391-2064 ext. 30 · Fax (216) 431-7189

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.

DAWN ELIZABETH BOYKIN

Community Health Worker