CARLY AMBER WILLIS
NPI 1396180543
Counselor - School in Pontiac, MI

NPI Status: Active since May 01, 2013

Contact Information

114 ORCHARD LAKE RD
PONTIAC, MI
ZIP 48341
Phone: (248) 624-3812
Fax: (248) 624-0368

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  • Individual
  • Female
  • Counselor
  • School

About CARLY WILLIS

This page provides the complete NPI Profile along with additional information for Carly Willis, a provider established in Pontiac, Michigan with a medical specialization in Counselor, focusing in school . The healthcare provider is registered in the NPI registry with number 1396180543 assigned on May 2013. The practitioner's primary taxonomy code is 101YS0200X. The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1396180543
Provider Name
CARLY AMBER WILLIS
Gender
Female
Entity Type
Individual
Location Address
114 ORCHARD LAKE RD PONTIAC, MI 48341
Location Phone
(248) 624-3812
Location Fax
(248) 624-0368
Mailing Address
114 ORCHARD LAKE RD PONTIAC, MI 48341
Mailing Phone
(248) 624-3812
Mailing Fax
(248) 624-0368
Is Sole Proprietor?
No
Enumeration Date
05-01-2013
Last Update Date
05-01-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor School

Taxonomy Code
101YS0200X
Type
Behavioral Health & Social Service Providers

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1883825MEDICAID (05)MI 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1396180543
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2318628058
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 2 + 8 + 0 + 5 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1396180543 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1609892405MR. GARY MICHAEL SWARGA LMSW
Individual
Social Worker (Clinical)114 ORCHARD LAKE RD
PONTIAC, MI 48341
(248) 858-7766
1447271424MS. BERNIE ELEANOR KOMRAUS LPC, CAC II
Individual
Counselor (Addiction (Substance Use Disorder))114 ORCHARD LAKE RD
PONTIAC, MI 48341
(248) 858-7766
1518035146MR. JOHN MOORE HUTCHISON LMSW
Individual
Social Worker (Clinical)114 ORCHARD LAKE RD
PONTIAC, MI 48341
(248) 858-7766
1740349620DR. JASWANT SINGH BAGGA MD
Individual
Psychiatry & Neurology (Addiction Medicine)114 ORCHARD LAKE RD
PONTIAC, MI 48341
(248) 858-7766
1780739425 ERIKA ALEXANDER MA, LPC, CAC
Individual
Counselor114 ORCHARD LAKE RD
PONTIAC, MI 48341
(248) 858-7766
1386799070 JACQUELINE MARGARET BLAKE MA, LPC, LLP
Individual
Psychologist114 ORCHARD LAKE RD
PONTIAC, MI 48341
(248) 858-7766
1629115563 ALBA MANJARRES LMSW
Individual
Social Worker (Clinical)114 ORCHARD LAKE RD
PONTIAC, MI 48341
(248) 858-7766
1306983119 AMALLIE DEFONSEKA LLMSW
Individual
Social Worker (Clinical)114 ORCHARD LAKE RD
PONTIAC, MI 48341
(248) 858-7766
1922145820 JANET A CARPENTER LMSW
Individual
Social Worker (Clinical)114 ORCHARD LAKE RD
PONTIAC, MI 48341
(248) 858-7766
1932246865 KERRY MCGRAW LMSW
Individual
Social Worker (Clinical)114 ORCHARD LAKE RD
PONTIAC, MI 48341
(248) 858-7766
1972640811MRS. REBECCA DICKINSON LMSW
Individual
Social Worker (Clinical)114 ORCHARD LAKE RD
PONTIAC, MI 48341
(248) 858-7766
1891832770 GARY SOLANSKEY LMSW
Individual
Social Worker (Clinical)114 ORCHARD LAKE RD
PONTIAC, MI 48341
(248) 858-7766
1326185109 MICHELINE SOMMERS LMSW
Individual
Social Worker (Clinical)114 ORCHARD LAKE RD
PONTIAC, MI 48341
(248) 858-7766
1114064060 KAREN BLECHINGER LMSW
Individual
Social Worker (Clinical)114 ORCHARD LAKE RD
PONTIAC, MI 48341
(248) 858-7766
1659400505 NICOLE RAE QUIDORT LLMSW
Individual
Social Worker (Clinical)114 ORCHARD LAKE RD
PONTIAC, MI 48341
(248) 858-7766
1659400547 SHERI LYNN KAPLAN LMSW, ACSW
Individual
Social Worker (Clinical)114 ORCHARD LAKE RD
PONTIAC, MI 48341
(248) 858-7766
1205956836 KATHLEEN MARY HOUSLER RTT, RMT, LMSW, ACSW
Individual
Social Worker (Clinical)114 ORCHARD LAKE RD
PONTIAC, MI 48341
(248) 858-7766
1548462039 STEFFANIE LYN BOUDREAU-THOMAS MA, LPC, LMFT
Individual
Counselor114 ORCHARD LAKE RD
PONTIAC, MI 48341
(248) 858-7766
1649479858 AMY COLLEEN CRADDICK MA, LLPC
Individual
Counselor (Mental Health)114 ORCHARD LAKE RD
PONTIAC, MI 48341
(248) 858-7766
1063609378MS. ELLEN MAUREEN CUSHING BA
Individual
Social Worker (School)114 ORCHARD LAKE RD
PONTIAC, MI 48341
(248) 858-7766

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396180543, enumerated in the NPI registry as an "individual" on May 01, 2013

The provider is located at 114 Orchard Lake Rd Pontiac, Mi 48341 and the phone number is (248) 624-3812

The provider's speciality is Counselor with taxonomy code 101YS0200X with a focus in School

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 01, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.