MR. BRIAN E WILLIS LMHC
NPI 1740538511
Counselor - Mental Health in Milton, FL

Q: What is Brian Willis's NPI number?

The NPI number for Brian Willis is 1740538511. It was assigned to this individual provider in the NPPES registry on August 27, 2012.

Q: What is Brian Willis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brian Willis was last updated on August 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 August 27, 2012PECOS EnrolledAccepts Medicare Assignment

5642 JONES ST, MILTON, FL 32570(850) 626-7779(850) 626-7171 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2022, Jan 3, 2020 (2 updates tracked since 2020).

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About Mr. Brian E Willis Lmhc NPPES

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

MR. BRIAN E WILLIS LMHC (NPI 1740538511) is an individual mental health provider in Milton, Florida, licensed in Florida (MH11927) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Milton, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1740538511

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. BRIAN E WILLISCredential: LMHC

Location Address5642 JONES STMilton, FL 32570-2304

Mailing Address5642 Jones StMilton, FL 32570-2304 · (850) 626-7779 · Fax (850) 626-7171

Phone(850) 626-7779

Fax(850) 626-7171

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateAugust 27, 2012

Last NPPES UpdateAugust 12, 20222 updates tracked since enumeration

NPPES CertifiedAugust 12, 2022

✔ NPI 1740538511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Licenses✔ Licensed in FL · MH11927✔ Licensed in FL · MH 11927

5642 JONES ST, Milton, FL 32570

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Secondary Practice Location 1

Location 15441 Berryhill RdMilton, FL 32570-8026 · Phone (850) 626-7779 · Fax (850) 626-7171

Other Identifiers 1

Medicaid101566900FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) 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 and accepts Medicare assignment

Mr. Brian E Willis Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375934755

PECOS Enrollment IDI20240307000922

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 20

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

SHUNDRA BROWN FREEMAN

Counselor (Mental Health)