Cottonwood Therapeutics LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COTTONWOOD THERAPEUTICS LLC

Practice address

2900 Louisiana Blvd NE Ste H
Albuquerque, NM 87110-3565

Phone

(505) 459-1260

NPI assigned

Mar 30, 2021

Organization subpart

No

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

Authorized official

Name

Jonathan R. Willoughby, LCSWNPI 1013433051

Title

LCSW, Owner

Phone

(505) 459-1260

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan R Willoughby, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1013433051
  NPD Authorized official

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732838400000",
    "number": "1003494303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 GEORGIA ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105903",
            "telephone_number": "505-459-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 LOUISIANA BLVD NE STE H",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103565",
            "telephone_number": "505-459-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTONWOOD THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A",
        "authorized_official_last_name": "WILLOUGHBY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "LCSW, OWNER",
        "authorized_official_telephone_number": "505-459-1260",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11401346",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cottonwood Family Medicine LLC
• Cottonwood Home Health Care LLC
• Cottonwood Mall Dental Practice, LLC
• Cottonwood Orthodontics, PC
• Cottonwood Smiles Dentistry and Orthodontics, LLC (Cottonwood Smiles Dentistry and Orthodontics)
• Cottonwood Vision Care LLC (Orbit Eyecare)
• Andrew Jerald Cottrell, DO
• Mary-Beth Coty, APRN
• Amy Couch Hughes, LMT
• Sarah B Couch, LCSW

• Community/Behavioral Health Agency in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Community/Behavioral Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.