Willow Grove Mental Health, Inc.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0770900 Issued in CO

Legal business name

WILLOW GROVE MENTAL HEALTH, INC.

Doing business as

Elizabeth Waggoner, PMHNP

Practice address

2101 S Blackhawk St Ste 240
Aurora, CO 80014-1475

Phone

(720) 262-9100

Fax

(720) 262-9101

NPI assigned

Jun 18, 2018

Organization subpart

No

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

Authorized official

Name

Mary Elizabeth Waggoner, APRN

Title

President

Phone

(720) 262-9100

Specialties & licenses 2

Addresses

Other names 3

• Elizabeth Waggoner, PMHNP Doing business as
• Elizabeth Waggoner PMHNP-BC LLC Former legal business name
• Elizabeth Waggoner, PMHNP-BC Former legal business name

Locations

Practitioners 2

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

• Michelle E Reese, LCSW

  • Mental Health Counselor
  • Denver, CO
  • NPI 1659883890

  Clinical

  NPD (past)
• Audrey Williams

  • Social Worker
  • Thornton, CO
  • NPI 1164823373
  NPD (past)

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1023502549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 S BLACKHAWK ST STE 240",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141475",
            "telephone_number": "720-262-9100",
            "fax_number": "720-262-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 S BLACKHAWK ST STE 240",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141475",
            "telephone_number": "720-262-9100",
            "fax_number": "720-262-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW GROVE MENTAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-18",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "WAGGONER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-262-9100",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09923992",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "0770900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elizabeth Waggoner, PMHNP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elizabeth Waggoner PMHNP-BC LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Elizabeth Waggoner, PMHNP-BC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Christopher Willis
• Edgar T Willis, BA
• Emily Willke, OTR
• Clifton Willmeng, R.N.
• Brent A Willoughby
• Megan Wills
• Meghan Willson
• Sarah Wilmes, RN
• Sarah Wilmore
• Allison M Wilson

• Psychiatric/Mental Health Nurse Practitioner in Aurora, CO
• Providers in Aurora, CO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.