Willow Tree Therapy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC Issued in WY

Legal business name

WILLOW TREE THERAPY

Practice address

100 Warren Ave
Gillette, WY 82716-3728

Phone

(307) 682-2034

NPI assigned

Mar 6, 2018

Organization subpart

No

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

Authorized official

Name

Polly J Akins, LPCNPI 1659668416

Title

Owner

Phone

(307) 682-2034

Specialties & licenses 1

Addresses

Practitioners 1

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

• Polly Jean Akins, PH.D.

  • Professional Counselor
  • Gillette, WY
  • NPI 1659668416
  NPD (past) Authorized official

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1144722059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WARREN AVE",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163728",
            "telephone_number": "307-682-2034",
            "fax_number": "307-682-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WARREN AVE",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163728",
            "telephone_number": "307-682-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW TREE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-06",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "AKINS",
        "authorized_official_first_name": "POLLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-682-2034",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WY",
            "license": "LPC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Billie F Wilkerson, MD
• Lori Ann Wilkerson
• Kathryn Spring Wilkins, BA - PSYCHOLOGY
• Kelsey Williams
• Kayla Anne Williamsen, PHYSICAL THERAPIST
• Moriahn Wilson, PA-C
• Ragen Wilson, PT
• Amy Rebecca Winkleman, D.P.M.
• Candace M Winters, PA
• Wise Counseling, LLC

• Mental Health Counselor in Gillette, WY
• Providers in Gillette, WY by specialty
• Mental Health Counselor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.