Willow Bay Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WILLOW BAY COUNSELING LLC

Practice address

103 W Tomichi Ave Ste 201-C
Gunnison, CO 81230-2323

Phone

(970) 784-6460

NPI assigned

Feb 3, 2023

Last updated

Apr 29, 2024By 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

Andrea Breiner, LPCNPI 1851818272

Title

Owner

Phone

(970) 784-6460

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Andrea Breiner, MA, LPC, NCC, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Gunnison, CO
  • NPI 1851818272
  Authorized official Same address or phone

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1285330936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W TOMICHI AVE STE 201-C",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302323",
            "telephone_number": "970-784-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W TOMICHI AVE STE 201-C",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302323",
            "telephone_number": "970-784-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW BAY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-03",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "BREINER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-784-6460",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• William Jason Wild, ST
• Shalen Williams, PHARMD
• Evangelyn Willrodt
• Gary John Witt, M.D.
• James Woelk, CRNA
• Jay Michael Wolkov, DO
• James R Woodford, CRNA

• Professional Counselor in Gunnison, CO
• Providers in Gunnison, CO by specialty
• Professional Counselor in Colorado

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