Organization Active NPI

Under the Willow Tree Counseling PLLC

  • Mental Health Counselor
  • Bellingham, WA
National Provider Identifier
1336782937
Registry record updated Oct 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
UNDER THE WILLOW TREE COUNSELING PLLC
Practice address
115 W Magnolia St Ste 203
Bellingham, WA 98225-4300
Phone
(360) 215-3166
Fax
(360) 841-7193
NPI assigned
Oct 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2019

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

Authorized official

Name
Tia Mathews, MANPI 1083064174
Title
Owner/ Operator
Phone
(360) 215-3166

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

115 W Magnolia St Ste 203
Bellingham, WA 98225-4300

Mailing address

115 W Magnolia St Ste 203
Bellingham, WA 98225-4300
Phone (360) 215-3166

National Provider Directory

National Provider Directory

Locations

115 W Magnolia St
Ste 203
Bellingham, WA 98225
Phone (360) 215-3166

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": "1572048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572048000000",
    "number": "1336782937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W MAGNOLIA ST STE 203",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254300",
            "telephone_number": "360-215-3166",
            "fax_number": "360-841-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W MAGNOLIA ST STE 203",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254300",
            "telephone_number": "360-215-3166",
            "fax_number": "360-841-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNDER THE WILLOW TREE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-26",
        "last_updated": "2019-10-26",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "TIA",
        "authorized_official_title_or_position": "OWNER/ OPERATOR",
        "authorized_official_telephone_number": "360-215-3166",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.