1. Home
  2. Directory
  3. Michigan
  4. Dearborn
  5. Counselor
  6. NPI Profile

EBONY DE-SHONIA WILLIS
NPI 1487205787
Counselor - Mental Health in Dearborn, MI

Active since September 27, 2019PECOS Enrolled
835 MASON ST STE B295-A, DEARBORN, MI 48124(734) 265-0890(734) 895-3957 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 6, 2025, Oct 26, 2022, Sep 27, 2019 (3 updates tracked since 2019).

About Ebony De-shonia Willis NPPES

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

EBONY DE-SHONIA WILLIS (NPI 1487205787) is an individual mental health provider in Dearborn, Michigan, licensed in Michigan (6401223961) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487205787
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameEBONY DE-SHONIA WILLIS
Location Address835 MASON ST STE B295-ADearborn, MI 48124-2231
Mailing Address835 Mason St Ste B295-aDearborn, MI 48124-2231 · (734) 265-0890 · Fax (734) 895-3957
Phone(734) 265-0890
Fax(734) 895-3957
Sole ProprietorNo
Enumeration DateSeptember 27, 2019
Last NPPES UpdateOctober 6, 20253 updates tracked since enumeration
NPPES CertifiedOctober 6, 2025
✔ NPI 1487205787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MI · 6401223961
835 MASON ST STE B295-A, Dearborn, MI 48124
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ebony De-shonia Willis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES

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

ILLUMINATED GUIDANCE CENTER LLC
Counselor (Mental Health)
835 MASON ST STE B295-A
DEARBORN, MI 48124
Wayne County (734) 265-0890

Frequently Asked Questions

What is Ebony Willis's NPI number?

The NPI number assigned to this healthcare provider is 1487205787, enumerated as an "individual" on September 27, 2019.

Where is the provider located?

The provider is located at 835 MASON ST STE B295-A DEARBORN, MI 48124 and the phone number is (734) 265-0890.

What is the provider's specialty?

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

What insurance does Ebony Willis accept?

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.