Active NPI 1487488219 Individual Practitioner Male Practitioner

John Willis

Peer Specialist • Miami, OK

Professional Overview & Biography Verified Profile Summary

John Willis is a registered healthcare professional specializing in Peer Specialist in Miami, OK. Practice services are available at 130 W STEVE OWENS BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

130 W Steve Owens Blvd

Miami, OK 743547629

Telephone 9185422845

Associated Practice Facility / Clinic

🏢 Northeastern Oklahoma Council On Alcoholism, Inc. Facility NPI 1336346279

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Miami, OK

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

53 Specialists

Practicing in Miami, OK (5280 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: 2024-08-26

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

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

29 Associated Practitioners

Douglas Smith

Substance Abuse Rehabilitation Facility

NPI 1023447877

Racheal Fisher

Counselor - Addiction (Substance Use Disorder)

NPI 1023624418

Eric Goodpaster , TEACHING CERTIFICATE

Counselor - Addiction (Substance Use Disorder)

NPI 1053734236

TEACHINGCERTIFICATE

Scott Shannon , BHRS

Counselor - Addiction (Substance Use Disorder)

NPI 1114299872

Brian Starchman

Rehabilitation Counselor

NPI 1154657906

James Fiddler , MED

Rehabilitation Counselor

NPI 1235462177

Master of Education

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 26, 2024

NPI status registered as active in NPPES database

📍

Updated Practice Location August 26, 2024

Registered at 130 W STEVE OWENS BLVD, MIAMI, OK 743547629 (Tel: 9185422845)

📍

Updated Business Mailing Address August 26, 2024

Registered at 304 N MICKEY MANTLE BLVD, COMMERCE, OK 743391110 (Tel: 9186754100)

👤

Provider Name / Credentials Updated August 26, 2024

Recorded as JOHN WILLIS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2024

Peer Specialist

🟢

Initial NPI Registration & Enumeration August 26, 2024

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: 1487488219

Entity Type:

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

Enumeration Date: August 26, 2024

Last Update: August 26, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

304 N Mickey Mantle Blvd

Commerce, OK 743391110

Phone: 9186754100

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.