Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073706941 Individual Practitioner Female Practitioner

Darrelle Willis , MS

Counselor • Jackson, TN

Professional Overview & Biography Verified Profile Summary

Darrelle Willis, MS is a registered healthcare professional specializing in Counselor in Jackson, TN. Practice services are available at 45 EXECUTIVE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

45 Executive Dr

Jackson, TN 383052337

Telephone 7316642083
Fax 7316641988

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Jackson, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.0 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
56 Specialists

Practicing in Jackson, TN (1666 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: 2021-03-15
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

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.

Practice Associates & Co-Workers

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

23 Associated Practitioners
Patrick Hardy

Counselor

NPI 1043310857
Kimba Keel , RN

Nurse Practitioner

NPI 1043427982

Registered Nurse

NPI 1104139765

Bachelor of Science

NPI 1215178587

Licensed Professional Counselor

NPI 1265672695

Master of Arts

NPI 1376720318

Bachelor of Social Work

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address March 15, 2021

Registered at 103 SOUTHLAKE CIR, CANTON, MS 390465369 (Tel: 6018598371)

NPI Profile Active August 23, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location August 23, 2007

Registered at 45 EXECUTIVE DR, JACKSON, TN 383052337 (Tel: 7316642083)

📍
Updated Business Mailing Address August 23, 2007

Registered at 45 EXECUTIVE DR, JACKSON, TN 383052337 (Tel: 7316642083)

👤
Provider Name / Credentials Updated August 23, 2007

Recorded as DARRELLE WILLIS, M.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2007

Counselor

🟢
Initial NPI Registration & Enumeration August 23, 2007

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: 1073706941
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 23, 2007
Last Update: March 15, 2021
Sole Proprietor: No

Mailing Address

103 Southlake Cir

Canton, MS 390465369

Phone: 6018598371

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.