Willow and Ivy Counseling Services, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WILLOW AND IVY COUNSELING SERVICES, PLLC

Doing business as

Willow and Ivy Counseling

Practice address

11201 N Tatum Blvd # 912020
Phoenix, AZ 85028-6036

Phone

(623) 252-9118

NPI assigned

Aug 14, 2023

Last updated

Aug 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jessica D Koh, LPCNPI 1780129981

Title

Owner

Phone

(206) 658-7951

Specialties & licenses 1

Addresses

Other names 1

• Willow and Ivy Counseling Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Koh, M.A.

  • Professional Counselor
  • Phoenix, AZ
  • NPI 1780129981
  NPD Authorized official

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1104509389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11201 N TATUM BLVD # 912020",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286036",
            "telephone_number": "623-252-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 N TATUM BLVD # 912020",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286036",
            "telephone_number": "623-252-9118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52618 Old East End Rd",
            "address_purpose": "LOCATION",
            "city": "Homer",
            "state": "AK",
            "postal_code": "996039664",
            "country_code": "US",
            "telephone_number": "623-252-9118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WILLOW AND IVY COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-13",
        "status": "A",
        "authorized_official_last_name": "KOH",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-658-7951",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow and Ivy Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Professional Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.