KWIN LESLIE WILLIS
NPI 1881940302
Marriage & Family Therapist in Richmond, UT

Q: What is Kwin Willis's NPI number?

The NPI number for Kwin Willis is 1881940302. It was assigned to this individual provider in the NPPES registry on August 2, 2012.

Q: What is Kwin Willis's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Kwin Willis enrolled in Medicare?

No. Kwin Willis has opted out of Medicare through July 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kwin Willis was last updated on October 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 02, 2012Opted out of Medicare · through Jul 18, 2028

44 N HIGHWAY 91 STE 1, RICHMOND, UT 84333(435) 535-5784 Get Directions Write a Review

NPPES record last updated: October 23, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 23, 2019, Jun 5, 2017 (2 updates tracked since 2017).

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About Kwin Leslie Willis NPPES

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

KWIN LESLIE WILLIS (NPI 1881940302) is an individual marriage & family therapist in Richmond, Utah, licensed in Utah (9578164-3902) and active in the NPI registry since August 2012. He has opted out of Medicare through July 18, 2028.

NPPES Registry Identity

NPI1881940302

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameKWIN LESLIE WILLIS

Location Address44 N HIGHWAY 91 STE 1Richmond, UT 84333-1419

Mailing Address825 East 1090 SouthProvo, UT 84606

Phone(435) 535-5784

Sole ProprietorNo

Enumeration DateAugust 2, 2012

Last NPPES UpdateOctober 23, 20192 updates tracked since enumeration

✔ NPI 1881940302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in UT · 9578164-3902

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

44 N HIGHWAY 91 STE 1, Richmond, UT 84333

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kwin Leslie Willis has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 18, 2024 through July 18, 2028.

Opt-Out Effective DateJuly 18, 2024

Opt-Out In Effect ThroughJuly 18, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Kwin Willis's NPI number?

The NPI number for Kwin Willis is 1881940302. It was assigned to this individual provider in the NPPES registry on August 2, 2012.

Where is Kwin Willis located?

Kwin Willis practices at 44 N Highway 91 Ste 1, Richmond, UT 84333. The listed phone number is (435) 535-5784.

What is Kwin Willis's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Kwin Willis enrolled in Medicare?

No. Kwin Willis has opted out of Medicare through July 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kwin Willis accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Kwin Willis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kwin Willis was last updated on October 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.