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ROGER DEWAYNE WILLIS
NPI 1598641367
Counselor - Mental Health in Wagoner, OK

Active since August 15, 2025
109 S HARRILL AVE, WAGONER, OK 74467(918) 485-0242(918) 485-0204 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Roger Dewayne Willis NPPES

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

ROGER DEWAYNE WILLIS (NPI 1598641367) is an individual mental health provider in Wagoner, Oklahoma and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1598641367
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameROGER DEWAYNE WILLIS
Location Address109 S HARRILL AVEWagoner, OK 74467-5317
Mailing Address4103 S Yale Ave Ste BTulsa, OK 74135-6002 · (918) 382-7300 · Fax (918) 382-7302
Phone(918) 485-0242
Fax(918) 485-0204
Sole ProprietorYes
Enumeration DateAugust 15, 2025
NPPES CertifiedAugust 14, 2025
✔ NPI 1598641367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
109 S HARRILL AVE, Wagoner, OK 74467
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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.

DAYNA APPLEGATE
Case Manager/Care Coordinator
109 S HARRILL AVE
WAGONER, OK 74467
Wagoner County (918) 485-0242
MADISON M MEDLOCK
Counselor
109 S HARRILL AVE
WAGONER, OK 74467
Wagoner County (918) 485-0242
GARRETTE LEE MCCLURE M.S.
Counselor (Mental Health)
109 S HARRILL AVE
WAGONER, OK 74467
Wagoner County (918) 485-0242
LORI KIM CHILDS LMSW-P
Social Worker (Clinical)
109 S HARRILL AVE
WAGONER, OK 74467
Wagoner County (918) 485-0242
TAREK SLEEM
Clinic/Center (Mental Health (Including Community Mental Health Center))
109 S HARRILL AVE
WAGONER, OK 74467
Wagoner County (918) 485-0242
CRUZ RONDON
Peer Specialist
109 S HARRILL AVE
WAGONER, OK 74467
Wagoner County (918) 485-0242
CREOKS MENTAL HEALTH SERVICES
Peer Specialist
109 S HARRILL AVE
WAGONER, OK 74467
Wagoner County (918) 382-7300
CLARESSA ARMER
Case Manager/Care Coordinator
109 S HARRILL AVE
WAGONER, OK 74467
Wagoner County (918) 485-0242

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 Roger Willis's NPI number?

The NPI number for Roger Willis is 1598641367. It was assigned to this individual provider in the NPPES registry on August 15, 2025.

Where is Roger Willis located?

Roger Willis practices at 109 S Harrill Ave, Wagoner, OK 74467. The listed phone number is (918) 485-0242.

What is Roger Willis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Roger Willis was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.