Active NPI
Willow Bay Counseling
- Mental Health Counselor
- St Petersburg, FL
National Provider Identifier
1003752890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- WILLOW BAY COUNSELING
- Practice address
- 6450 1St Ave N
St Petersburg, FL 33710-8402 - Phone
- (419) 345-3326
- NPI assigned
- Apr 25, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erin Wiley, LMHC
- Title
- Ceo
- Phone
- (419) 345-3326
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
6450 1St Ave N
St Petersburg, FL 33710-8402
Mailing address
1333 Cromly CT
Maumee, OH 43537-4313
Phone (419) 345-3326
National Provider Directory
National Provider DirectoryLocations
6450 1st Ave N
St Petersburg, FL 33710
Phone (419) 345-3326
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Sylvania, OH
- NPI 1720403884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777075200000",
"number": "1003752890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1333 CROMLY CT",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435374313",
"telephone_number": "419-345-3326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6450 1ST AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337108402",
"telephone_number": "419-345-3326"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLOW BAY COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-25",
"last_updated": "2026-04-25",
"certification_date": "2026-04-25",
"status": "A",
"authorized_official_last_name": "WILEY",
"authorized_official_first_name": "ERIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "419-345-3326",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.