Willows Counseling and Emdr Center

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WILLOWS COUNSELING AND EMDR CENTER

Practice address

20 S Main St Ste 21
Janesville, WI 53545-3959

Phone

(608) 851-0348

Fax

(815) 737-8115

NPI assigned

Apr 16, 2020

Organization subpart

No

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

Authorized official

Name

Mary Collins, LPC-IT, CSACNPI 1811384241

Title

Owner

Phone

(608) 851-0348

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

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

• Mary Collins, LPC-IT, CSAC

  • Professional Counselor
  • Janesville, WI
  • NPI 1811384241
  NPD Authorized official

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771372800000",
    "number": "1043830334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20759 BURR OAK RD",
            "city": "CAPRON",
            "state": "IL",
            "postal_code": "610129616",
            "telephone_number": "815-482-2563",
            "fax_number": "815-737-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S MAIN ST STE 21",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535453959",
            "telephone_number": "608-851-0348",
            "fax_number": "815-737-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWS COUNSELING AND EMDR CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-16",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-851-0348",
        "authorized_official_credential": "LPC-IT, CSAC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100078408",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheila Williams, PHARMD
• Wendy Williams
• Hanna Kae Williamson
• Wendy Sue Willing-Valley, OT
• Willow Way Counseling Center LLC
• Diane Kristine Willyerd, PTA
• Beverly J Wilson, LPC
• Rebekah S Wilson, LPC-IT
• Katelyn Harle Wiltsey
• Jennifer Laura Wimmer, APNP, FNP-C

• Professional Counselor in Janesville, WI
• Providers in Janesville, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.