BETH WILLIS LPCC
NPI 1780223867
Counselor - Professional in Louisville, KY

Q: What is Beth Willis's NPI number?

The NPI number for Beth Willis is 1780223867. It was assigned to this individual provider in the NPPES registry on January 6, 2020.

Q: What is Beth Willis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Beth Willis was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since January 06, 2020PECOS EnrolledAccepts Medicare Assignment

312 S 4TH ST STE 700, LOUISVILLE, KY 40202(574) 546-1900(574) 546-1999 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2026, Feb 14, 2025, Jan 6, 2020 (3 updates tracked since 2020).

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About Beth Willis Lpcc NPPES

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

BETH WILLIS LPCC (NPI 1780223867) is an individual professional provider in Louisville, Kentucky, licensed in Kentucky (274891) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1780223867

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameBETH WILLISCredential: LPCC

Location Address312 S 4TH ST STE 700Louisville, KY 40202-3046

Mailing Address10401 Linn Station Rd Ste 100Louisville, KY 40223-3842 · (502) 589-8600 · Fax (502) 589-8745

Phone(574) 546-1900

Fax(574) 546-1999

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJanuary 6, 2020

Last NPPES UpdateMay 6, 20263 updates tracked since enumeration

NPPES CertifiedMay 6, 2026

✔ NPI 1780223867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in KY · 274891

312 S 4TH ST STE 700, Louisville, KY 40202

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Secondary Practice Locations 2

Location 1950 S 1st StLouisville, KY 40203-2202 · Phone (502) 585-9444 · Fax (502) 589-4489

Location 22141 Spencer CtLA Grange, KY 40031-6742 · Phone (502) 589-8600 · Fax (502) 589-8745

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

Beth Willis Lpcc 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 ID7315470135

PECOS Enrollment IDI20241031001084

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.

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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.

LAGENIA K WRIGHT ARNP

Nurse Practitioner (Family)