Willow Therapeutic

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WILLOW THERAPEUTIC

Practice address

217 Glenwood Ave
Willow Springs, IL 60480-1307

Phone

(574) 238-0438

NPI assigned

Dec 29, 2022

Organization subpart

No

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

Authorized official

Name

Michelle C Gessler, LCPCNPI 1497364038

Title

Mental Health Counselor

Phone

(574) 238-0438

Specialties & licenses 1

Addresses

Practitioners 2

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

• Michelle Gessler, LCPC

  • Mental Health Counselor
  • Willow Springs, IL
  • NPI 1497364038
  NPD Authorized official
• Jillian Ann Kerchen, MA, LPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1760278253

  Mental Health

  NPD

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1205549896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 GLENWOOD AVE",
            "city": "WILLOW SPRINGS",
            "state": "IL",
            "postal_code": "604801307",
            "telephone_number": "574-238-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 GLENWOOD AVE",
            "city": "WILLOW SPRINGS",
            "state": "IL",
            "postal_code": "604801307",
            "telephone_number": "574-238-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW THERAPEUTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-29",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A",
        "authorized_official_last_name": "GESSLER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "574-238-0438",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendell Ann Sullivan, CRNA
• Daniel Y. Tam, RPH
• The Zen Therapy Room LLC
• Village of Willow Springs
• Willow Springs SCH Dist 108
• Willow Therapeutic, PLLC
• Stephen M Wright, MA, LCPC

• Mental Health Counselor in Willow Springs, IL
• Providers in Willow Springs, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.