Ms Jenna Diane Willis, NCC, LCMHCA, LCASA is a
Counselor - Mental Health based in Hatteras, North Carolina. Ms Jenna Diane Willis is licensed to practice in North Carolina (license number A15404) and her current practice location is
57214 Eagle Pass Rd, Hatteras, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(252) 305-0429.
NPI number for Ms Jenna Diane Willis is 1447870001 and her current mailing address is Po Box 425, Hatteras, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447870001.
Healthcare Provider's Profile
Full Name | Ms Jenna Diane Willis |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 57214 Eagle Pass Rd, Hatteras, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1447870001
- Provider Enumeration Date: 04/23/2020
- Last Update Date: 04/23/2020
Medical Identifiers
Medical identifiers for Ms Jenna Diane Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447870001 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-25820 (North Carolina) | Secondary |
101YM0800X | Counselor - Mental Health | A15404 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Jenna Diane Willis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Jenna Diane Willis, NCC, LCMHCA, LCASA Po Box 425, Hatteras, NC 27943-0425 Ph: (252) 305-0429 | Ms Jenna Diane Willis, NCC, LCMHCA, LCASA 57214 Eagle Pass Rd, Hatteras, NC 27943-0425 Ph: (252) 305-0429 |
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