Organization Active NPI

Willow Emotional & Relational Health, LLC

  • Marriage & Family Therapist
  • Baldwin City, KS
National Provider Identifier
1003492729
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
WILLOW EMOTIONAL & RELATIONAL HEALTH, LLC
Practice address
804 High St
Baldwin City, KS 66006-3101
Phone
(785) 594-5357
NPI assigned
Mar 23, 2021
Last updated
Mar 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nicole Leann Crites, LCMFTNPI 1902116650
Title
Owner/Therapist
Phone
(785) 594-5357

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

804 High St
Baldwin City, KS 66006-3101

Mailing address

PO Box 634
Baldwin City, KS 66006-0634
Phone (785) 594-5357

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.willowemotionalhealth.org/ Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250227003802 KS Part B Supplier - Clinic/Group Practice 9739609165 Receives reassigned benefits from 7 practitioners
Practice locations: Baldwin City, KS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1003492729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 634",
            "city": "BALDWIN CITY",
            "state": "KS",
            "postal_code": "660060634",
            "telephone_number": "785-594-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 HIGH ST",
            "city": "BALDWIN CITY",
            "state": "KS",
            "postal_code": "660063101",
            "telephone_number": "785-594-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW EMOTIONAL & RELATIONAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "CRITES",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "LEANN",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "785-594-5357",
        "authorized_official_credential": "LCMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.willowemotionalhealth.org/",
            "affiliation": "N",
            "endpointDescription": "website contact",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "804 High St",
            "city": "Baldwin City",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660063101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baldwin City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.