JOHN GLEN WILLIS MA, LPC
NPI 1700021425
Counselor - Mental Health in Golden, CO

Active since December 09, 2008
1030 JOHNSON RD STE 286, GOLDEN, CO 80401(720) 220-4187 Get Directions Write a Review

NPPES record last updated: May 10, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John Glen Willis Ma, Lpc NPPES

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

JOHN GLEN WILLIS MA, LPC (NPI 1700021425) is an individual mental health provider in Golden, Colorado, licensed in Colorado (6334) and active in the NPI registry since December 2008.

NPPES Registry Identity

NPI1700021425
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJOHN GLEN WILLISCredential: MA, LPC
Location Address1030 JOHNSON RD STE 286Golden, CO 80401-6003
Mailing Address1030 Johnson Rd Ste 286Golden, CO 80401-6003 · (720) 220-4187
Sole ProprietorNo
Enumeration DateDecember 9, 2008
Last NPPES UpdateMay 10, 2019
NPI 1700021425 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 CO · 6334
1030 JOHNSON RD STE 286, Golden, CO 80401

Other Identifiers 1

Other14467331CO · Caqh

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 1700021425. It was assigned to this individual provider in the NPPES registry on December 9, 2008.

Where is John Willis located?

John Willis practices at 1030 Johnson Rd Ste 286, Golden, CO 80401. The listed phone number is (720) 220-4187.

What is John 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 John Willis was last updated on May 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.