Willow Grove Counseling, LCSW, PLLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

WILLOW GROVE COUNSELING, LCSW, PLLC

Doing business as

Restore Mental Health

Practice address

1965 Sheridan Dr FL 2
Tonawanda, NY 14223-1251

Phone

(716) 225-4789

NPI assigned

Jun 22, 2023

Last updated

Jun 22, 2023By 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

Mr. Wayne N. Brown, LCSW, EDMNPI 1275025736

Title

Founder / Counselor

Phone

(716) 225-4789

Specialties & licenses 1

Addresses

Other names 1

• Restore Mental Health Doing business as

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.

• Wayne N Brown, LCSW, EDM

  • Social Worker
  • Buffalo, NY
  • NPI 1275025736
  NPD Authorized official

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1326724782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 JEWETT PKWY",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142336",
            "telephone_number": "716-225-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 SHERIDAN DR FL 2",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "142231251",
            "telephone_number": "716-225-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW GROVE COUNSELING, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "FOUNDER / COUNSELOR",
        "authorized_official_telephone_number": "716-225-4789",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW, EDM"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restore Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathan Willett
• William J. Belles MD PC
• William Stephan, M.D., P.C.
• Danielle Williams, OTR/L
• Jennifer Nicole Williams, M.S.
• Edith Eugenia Wilson, NP
• Amber Marie Wise
• Jill Wisniewski, MS OTR/L
• Tara Withey, CCD, CCBE
• Mary Rose Wittman

• Counselor in Tonawanda, NY
• Providers in Tonawanda, NY by specialty
• Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.