Organization Active NPI

Fern & Willow Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Owasso, OK
National Provider Identifier
1205704236
Registry record updated Oct 29, 2025
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
FERN & WILLOW COUNSELING, LLC
Practice address
202 S Cedar St Ste B
Owasso, OK 74055-3451
Phone
(918) 521-1594
NPI assigned
Oct 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Authorized official

Name
Amanda Rachelle Peevsasser, LCSWNPI 1649608928
Title
Owner/Solo Practitioner
Phone
(918) 521-1594

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

202 S Cedar St Ste B
Owasso, OK 74055-3451

Mailing address

PO Box 752
Owasso, OK 74055-0752
Phone (918) 521-1594

National Provider Directory

National Provider Directory

Locations

202 S Cedar St
Ste B
Owasso, OK 74055
Phone (918) 521-1594

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": "1761696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1205704236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 752",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740550752",
            "telephone_number": "918-521-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S CEDAR ST STE B",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740553451",
            "telephone_number": "918-521-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERN & WILLOW COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-29",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "PEEVSASSER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "RACHELLE",
        "authorized_official_title_or_position": "OWNER/SOLO PRACTITIONER",
        "authorized_official_telephone_number": "918-521-1594",
        "authorized_official_credential": "LCSW"
    },
    "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 Owasso, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.