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Active NPI 1184190324 Individual Practitioner Male Practitioner

Chad Riley Willis , LPC

Counselor - Professional • Mesa, AZ

Professional Overview & Biography Verified Profile Summary

Chad Willis, LPC is a registered healthcare professional specializing in Counselor - Professional in Mesa, AZ. Practice services are available at 303 N CENTENNIAL WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

303 N Centennial Way

Mesa, AZ 852016733

Telephone 4805270337
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Mesa, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.3 Yrs
State Avg: 15.4 Yrs
Regional Practice Density
250 Specialists

Practicing in Mesa, AZ (3051 Statewide)

Telehealth Adoption Rate
3.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-11-02
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License AZ LPC-17301

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
James Donley

Community Health Worker

NPI 1316694276
Patience Pearson , LMSW

Social Worker - Clinical

NPI 1679345896

Licensed Master Social Worker

Tanya Zweifel , LPC

Counselor - Mental Health

NPI 1801221551

Licensed Professional Counselor

Lisa Thompson , LAC

Counselor - Mental Health

NPI 1821885419

Licensed Acupuncturist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location November 02, 2023

Registered at 303 N CENTENNIAL WAY, MESA, AZ 852016733 (Tel: 4805270337)

📍
Updated Business Mailing Address November 02, 2023

Registered at 303 N CENTENNIAL WAY, MESA, AZ 852016733 (Tel: 4805270337)

NPI Profile Active October 15, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location October 15, 2018

Registered at 803 W MAIN ST, PAYSON, AZ 855414993 (Tel: 9288215439)

📍
Updated Business Mailing Address October 15, 2018

Registered at 803 W MAIN ST, PAYSON, AZ 855414993 (Tel: 9288215439)

👤
Provider Name / Credentials Updated October 15, 2018

Recorded as CHAD WILLIS, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2018

Counselor (License #LPC-17301 in AZ)

🟢
Initial NPI Registration & Enumeration October 15, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184190324
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 15, 2018
Last Update: November 02, 2023
Sole Proprietor: No

Mailing Address

303 N Centennial Way

Mesa, AZ 852016733

Phone: 4805270337

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.