Organization Active NPI

Willow Tree Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Huntsville, AL
National Provider Identifier
1154887974
Registry record updated Feb 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WILLOW TREE COUNSELING, LLC
Practice address
4245 Balmoral Dr SW Ste 203
Huntsville, AL 35801-6497
Phone
(256) 400-1111
NPI assigned
Feb 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2019

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

Authorized official

Name
Shannan League Roberts, LPCNPI 1245704543
Title
Counselor
Phone
(256) 400-1111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4245 Balmoral Dr SW Ste 203
Huntsville, AL 35801-6497

Mailing address

4245 Balmoral Dr SW Ste 203
Huntsville, AL 35801-6497
Phone (256) 400-1111

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1550361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550361600000",
    "number": "1154887974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 BALMORAL DR SW STE 203",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016497",
            "telephone_number": "256-400-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4245 BALMORAL DR SW STE 203",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016497",
            "telephone_number": "256-400-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW TREE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-17",
        "last_updated": "2019-02-17",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "SHANNAN",
        "authorized_official_middle_name": "LEAGUE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "256-400-1111",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2019; 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.