Willow Collective

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

WILLOW COLLECTIVE

Practice address

375 E Horsetooth Rd BLDG 6201
Fort Collins, CO 80525-6800

Phone

(970) 581-5155

NPI assigned

Nov 5, 2021

Organization subpart

No

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

Authorized official

Name

Mary Elizabeth Swanson, LCSWNPI 1336676485

Title

Manager/Member

Phone

(970) 581-5155

Specialties & licenses 2

Addresses

Tax ID family

Willow Collective2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Willow Collective

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Collins, CO
  • NPI 1700549557
  NPD tax ID

Locations

Practitioners 1

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

• Mary Elizabeth Swanson, LCSW

  • Clinical Social Worker
  • Loveland, CO
  • NPI 1336676485
  NPD (past) Authorized official

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1033874995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 E HORSETOOTH RD BLDG 6201",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805256800",
            "telephone_number": "970-581-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 E HORSETOOTH RD BLDG 6201",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805256800",
            "telephone_number": "970-581-5155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "706 S College Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805249860",
            "country_code": "US",
            "telephone_number": "970-581-5155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WILLOW COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-05",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "MANAGER/MEMBER",
        "authorized_official_telephone_number": "970-581-5155",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Winston James Willis
• Jon R Willison, DDS
• Erin K. Willits, MD
• Ronda Loreen Willmot, AU.D., CCC-A
• Brant Michael Willoughby, C.O.T.A.
• Willow Collective
• Willow Collective Foundation
• Willow Roots Therapy PLLC
• Willow Tree Studios, LLC
• Devin Wills

• Mental Health Clinic/Center (Including Community Mental Health Center) in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.