Active NPI 1891455135 Individual Practitioner Female Practitioner

Kelli Danielle Willard , LMFT

Counselor • Suwanee, GA

Professional Overview & Biography Verified Profile Summary

Kelli Willard, LMFT is a registered healthcare professional specializing in Counselor in Suwanee, GA. Practice services are available at 912 LITTLE DARBY LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

912 Little Darby Ln

Suwanee, GA 300247676

Telephone 6786479756

Associated Practice Facility / Clinic

🏢 Publix Super Markets Inc Facility NPI 1336180827

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Suwanee, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 11.9 Yrs

Regional Practice Density

14 Specialists

Practicing in Suwanee, GA (1557 Statewide)

Telehealth Adoption Rate

0.0% 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: 2021-12-28

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License GA MFT001359

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 28, 2021

NPI status registered as active in NPPES database

📍

Updated Practice Location December 28, 2021

Registered at 912 LITTLE DARBY LN, SUWANEE, GA 300247676 (Tel: 6786479756)

📍

Updated Business Mailing Address December 28, 2021

Registered at 1000 PEACHTREE INDUSTRIAL BLVD, STE 6 BOX 222, SUWANEE, GA 30024 (Tel: 6786479756)

👤

Provider Name / Credentials Updated December 28, 2021

Recorded as KELLI WILLARD, LMFT

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2021

Counselor (License #MFT001359 in GA)

🟢

Initial NPI Registration & Enumeration December 28, 2021

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: 1891455135

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 28, 2021

Last Update: December 28, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1000 Peachtree Industrial Blvd, Ste 6 Box 222

Suwanee, GA 30024

Phone: 6786479756

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.