Willow Pathways Therapeutic Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WILLOW PATHWAYS THERAPEUTIC SERVICES LLC

Practice address

881 Madison Ave
Mankato, MN 56001-6139

Phone

(507) 225-0450

Fax

(507) 779-7182

NPI assigned

May 18, 2022

Last updated

Aug 1, 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

Rebecca E McCabe, MS LPCCNPI 1245778083

Title

Founder and Partner

Phone

(507) 225-0450

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 3

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.

• Rebecca E McCabe, MS, LPCC

  • Mental Health Counselor
  • Mankato, MN
  • NPI 1245778083
  Medicare reassignment Care Compare group NPD Authorized official
• Jane Joanne Ek, LPCC

  • Counselor
  • Mankato, MN
  • NPI 1457981326
  Medicare reassignment Care Compare group NPD
• Marcia Stapleton, LICSW

  • Clinical Social Worker
  • Mankato, MN
  • NPI 1124028253
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1124765383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 MADISON AVE",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016139",
            "telephone_number": "507-225-0450",
            "fax_number": "507-779-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 MADISON AVE",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016139",
            "telephone_number": "507-225-0450",
            "fax_number": "507-779-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW PATHWAYS THERAPEUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2023-08-01",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "MCCABE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "FOUNDER AND PARTNER",
        "authorized_official_telephone_number": "507-225-0450",
        "authorized_official_credential": "MS LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124765383",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kay S Williams, APNP
• Kaylyn Williams
• Lucian Reed Williams
• Paul Daniel Williams, D.O.
• Maria Willner
• Emily Eliza Wilson, PA-C
• Miranda Winkels, DC
• Samantha Jean Winter
• Wisconsin Lutheran Child & Family Service (Christian Family Counseling)
• Wisconsin Lutheran Child & Family Service, Inc (Christian Family Counseling)

• Mental Health Counselor in Mankato, MN
• Providers in Mankato, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.