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TAIA LASHAWN WILLIS AMFT
NPI 1902197114
Marriage & Family Therapist in Oakland, CA

Active since April 21, 2011PECOS Enrolled
1700 BROADWAY STREET, SUITE 500, OAKLAND, CA 94612(925) 520-0005 Get Directions Write a Review

NPPES record last updated: March 27, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Taia Lashawn Willis Amft NPPES

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

TAIA LASHAWN WILLIS AMFT (NPI 1902197114) is an individual marriage & family therapist in Oakland, California, licensed in California (60249) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902197114
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameTAIA LASHAWN WILLISCredential: AMFT
Location Address1700 BROADWAY STREET, SUITE 500Oakland, CA 94612
Mailing Address5674 Stoneridge Dr., Suite 207Pleasanton, CA 94588 · (925) 520-0005
Phone(925) 520-0005
Sole ProprietorNo
Enumeration DateApril 21, 2011
Last NPPES UpdateMarch 27, 2019
✔ NPI 1902197114 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 CA · 60249
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.
1700 BROADWAY STREET, Oakland, CA 94612
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Taia Lashawn Willis Amft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Taia Willis's NPI number?

The NPI number for Taia Willis is 1902197114. It was assigned to this individual provider in the NPPES registry on April 21, 2011.

Where is Taia Willis located?

Taia Willis practices at 1700 Broadway Street Suite 500, Oakland, CA 94612. The listed phone number is (925) 520-0005.

What is Taia Willis's specialty?

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

Is Taia Willis enrolled in Medicare?

Yes. Taia Willis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Taia Willis was last updated on March 27, 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.