Chan Willis
Chan Willis is a Mental Health Counselor provider (Counselor) practicing in Jackson, MS, registered in the NPPES registry with NPI 1134663818 since 2016.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1134663818 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Chan Willis |
| Sex | Female |
| Practice address | 3450 HIGHWAY 80 W, Jackson, MS, 39209 |
| Phone | 6013212400 |
| Fax | 6013212476 |
| Enumeration date | 2016-12-14 |
| Last updated in NPPES | 2016-12-14 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 101YM0800X | Mental Health Counselor | Primary | 0347 | MS |
Copy-ready billing details
Provider: Chan Willis NPI: 1134663818 Taxonomy: 101YM0800X (Mental Health Counselor) Address: 3450 HIGHWAY 80 W, Jackson, MS, 39209
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1164468468 | Jeffrey Ali | Individual | Psychiatry Physician | Jackson, MS |
| 1588693634 | Katherine Raines | Individual | Psychiatric/Mental Health Nurse Practitioner | Jackson, MS |
| 1568492478 | Marshall Belaga | Individual | Psychiatry Physician | Jackson, MS |
| 1720090715 | Jenee Mason | Individual | Psychiatric/Mental Health Nurse Practitioner | Jackson, MS |
| 1689766958 | Stuart Milan | Individual | Psychiatric/Mental Health Nurse Practitioner | Jackson, MS |
| 1285815613 | Belinda Edwards | Individual | Psychiatric/Mental Health Nurse Practitioner | Jackson, MS |
| 1841471927 | Debra Mcgee | Individual | Mental Health Counselor | Jackson, MS |
| 1619103959 | Tissan Jackson | Individual | Clinical Social Worker | Jackson, MS |
Verify this record
Cross-check NPI 1134663818 against the authoritative CMS record: view Chan Willis on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-12-14.