Willow & Sprig

Primary specialty

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

Legal business name

WILLOW & SPRIG

Practice address

2121 S Mill Ave Ste 212B
Tempe, AZ 85282-2289

Phone

(602) 862-8926

NPI assigned

Feb 20, 2022

Organization subpart

No

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

Authorized official

Name

Guadalupe Quevedo Maravilla

Title

Ceo

Phone

(602) 327-9078

Specialties & licenses 4

Addresses

Tax ID family

Willow Sprig2 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 & Sprig

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1013788744
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Willow & Sprig

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1013788744
  NPPES parent name

Practitioners 1

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

• Danielle Pasquerello, LPC

  • Professional Counselor
  • Tempe, AZ
  • NPI 1093464018
  NPD

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

{
    "created_epoch": "1645315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1043965833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 N TATUM BLVD STE 102-628",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S MILL AVE STE 212B",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852822289",
            "telephone_number": "602-862-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW & SPRIG",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-20",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "QUEVEDO MARAVILLA",
        "authorized_official_first_name": "GUADALUPE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-327-9078"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "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
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylee Denae Williamson, N.M.D
• Phillip Williamson, N.M.D.
• Spencer Williamson, LAT, ATC
• Tomesha Jamese Williamson, NP
• Jennifer Lee Willis, LCSW
• Willow Stream LLC
• Andre R Wilson, LMT
• Angela Wilson
• Cory Robert Wilson, D.C.
• Derek Wilson

• Mental Health Clinic/Center (Including Community Mental Health Center) in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.