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KELLI WILLIS BS, CMII, RSS, CADC
NPI 1760682439
Counselor - Addiction (Substance Use Disorder) in Pryor, OK

Active since July 20, 2007
109 N FAIRLAND ST, PRYOR, OK 74361(918) 825-1405(918) 825-1406 Get Directions Write a Review

NPPES record last updated: April 26, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelli Willis Bs, Cmii, Rss, Cadc NPPES

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

KELLI WILLIS BS, CMII, RSS, CADC (NPI 1760682439) is an individual addiction (substance use disorder) provider in Pryor, Oklahoma, licensed in (NONE) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1760682439
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKELLI WILLISCredential: BS, CMII, RSS, CADC
Location Address109 N FAIRLAND STPryor, OK 74361-4205
Mailing Address109 N Fairland StPryor, OK 74361-4205 · (918) 825-1405 · Fax (918) 825-1406
Phone(918) 825-1405
Fax(918) 825-1406
Sole ProprietorNo
Enumeration DateJuly 20, 2007
Last NPPES UpdateApril 26, 2022
NPPES CertifiedApril 26, 2022
✔ NPI 1760682439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed · NONE
109 N FAIRLAND ST, Pryor, OK 74361
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Other Names 1

Other Name (5)Kelli Renee Anderson

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.

KALI ROSE KERNS
Peer Specialist
109 N FAIRLAND ST
PRYOR, OK 74361
Mayes County (918) 825-1405
JACKIE ELAINE HORTON
Case Manager/Care Coordinator
109 N FAIRLAND ST
PRYOR, OK 74361
Mayes County (918) 825-1405
WHITNEY JOANNA PHILLIPS
Peer Specialist
109 N FAIRLAND ST
PRYOR, OK 74361
Mayes County (918) 825-1405
BREANNA NICOLE COOK MHR, LPC-C
Counselor (Mental Health)
109 N FAIRLAND ST
PRYOR, OK 74361
Mayes County (918) 825-1401
NICOLE BURNHAM LPN
Licensed Practical Nurse
109 N FAIRLAND ST
PRYOR, OK 74361
Mayes County (918) 825-1405
STEPHANIE RENEE STACY
Peer Specialist
109 N FAIRLAND ST
PRYOR, OK 74361
Mayes County (918) 273-1841
CRYSTAL MICHELLE CUMMINS
Case Manager/Care Coordinator
109 N FAIRLAND ST
PRYOR, OK 74361
Mayes County (918) 825-1405
KANDICE BRIANS
Peer Specialist
109 N FAIRLAND ST
PRYOR, OK 74361
Mayes County (918) 273-1841

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 Kelli Willis's NPI number?

The NPI number for Kelli Willis is 1760682439. It was assigned to this individual provider in the NPPES registry on July 20, 2007. The provider is also known as Kelli Renee Anderson.

Where is Kelli Willis located?

Kelli Willis practices at 109 N Fairland St, Pryor, OK 74361. The listed phone number is (918) 825-1405.

What is Kelli Willis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kelli Willis was last updated on April 26, 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.