Willow Tree Psychotherapy LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

WILLOW TREE PSYCHOTHERAPY LLC

Practice address

17620 Durant St NE
Ham Lake, MN 55304-4602

Phone

(612) 567-2501

NPI assigned

Aug 19, 2026

Last updated

Aug 19, 2026By 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

Claire Baumgartner, LICSW

Title

Psychotherapist

Phone

(303) 908-1049

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1787097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1346155678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17620 DURANT ST NE",
            "city": "HAM LAKE",
            "state": "MN",
            "postal_code": "553044602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17620 DURANT ST NE",
            "city": "HAM LAKE",
            "state": "MN",
            "postal_code": "553044602",
            "telephone_number": "612-567-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW TREE PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-19",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "BAUMGARTNER",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "303-908-1049",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Timothy Thilges, DC
• Kiaja Tolzmann, DC
• Suzanne Claire Tuttle, LICSW
• Cathy Linn Wagamon, NCTMB, RNC
• Jeffrey Paul Wendt, DDS
• Ken Wilson, DC
• Sarah Ann Zamora, PHARMD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Ham Lake, MN
• Providers in Ham Lake, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.