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JOHN WILLIS
NPI 1487488219
Peer Specialist in Miami, OK

Active since August 26, 2024
130 W STEVE OWENS BLVD, MIAMI, OK 74354(918) 542-2845 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Willis NPPES

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

JOHN WILLIS (NPI 1487488219) is an individual peer specialist in Miami, Oklahoma and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1487488219
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJOHN WILLIS
Location Address130 W STEVE OWENS BLVDMiami, OK 74354-7629
Mailing Address304 N Mickey Mantle BlvdCommerce, OK 74339-1110 · (918) 675-4100 · Fax (918) 675-4615
Phone(918) 542-2845
Sole ProprietorNo
Enumeration DateAugust 26, 2024
NPPES CertifiedAugust 26, 2024
✔ NPI 1487488219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
130 W STEVE OWENS BLVD, Miami, OK 74354
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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.

DOUGLAS SMITH
Substance Abuse Rehabilitation Facility
130 W STEVE OWENS BLVD
MIAMI, OK 74354
Ottawa County (918) 542-2845
RACHEAL FISHER
Counselor (Addiction (Substance Use Disorder))
130 W STEVE OWENS BLVD
MIAMI, OK 74354
Ottawa County (918) 542-2845
ERIC GOODPASTER TEACHING CERTIFICATE
Counselor (Addiction (Substance Use Disorder))
130 W STEVE OWENS BLVD
MIAMI, OK 74354
Ottawa County (918) 542-2845
SCOTT SHANNON BHRS
Counselor (Addiction (Substance Use Disorder))
130 W STEVE OWENS BLVD
MIAMI, OK 74354
Ottawa County (918) 542-2845
CHRISTOPHER BEWAN
Peer Specialist
130 W STEVE OWENS BLVD
MIAMI, OK 74354
Ottawa County (918) 675-4100
BRIAN LOUIS STARCHMAN
Rehabilitation Counselor
130 W STEVE OWENS BLVD
MIAMI, OK 74354
Ottawa County (918) 542-2845
JAMES CLAYTON FIDDLER MED
Rehabilitation Counselor
130 W STEVE OWENS BLVD
MIAMI, OK 74354
Ottawa County (918) 542-2845
CHARLES LEE BERG
Case Manager/Care Coordinator
130 W STEVE OWENS BLVD
MIAMI, OK 74354
Ottawa County (918) 542-2845

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 John Willis's NPI number?

The NPI number for John Willis is 1487488219. It was assigned to this individual provider in the NPPES registry on August 26, 2024.

Where is John Willis located?

John Willis practices at 130 W Steve Owens Blvd, Miami, OK 74354. The listed phone number is (918) 542-2845.

What is John Willis's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for John Willis was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.