NPIMap

Organization Active NPI

Willow Grove Counseling

  • Adult Mental Health Clinic/Center
  • Spanish Fork, UT
National Provider Identifier
1356004121
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
WILLOW GROVE COUNSELING
Practice address
128 W 900 N Ste C
Spanish Fork, UT 84660-1463
Phone
(385) 200-0445
NPI assigned
Oct 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Brooke Willis, LCSWNPI 1467905059
Title
Co-Owner
Phone
(385) 200-0445

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

128 W 900 N Ste C
Spanish Fork, UT 84660-1463

Mailing address

128 W 900 N Ste C
Spanish Fork, UT 84660-1463
Phone (385) 200-0445

National Provider Directory

National Provider Directory

Locations

128 W 900 N
Ste C
Spanish Fork, UT 84660
Phone (385) 200-0445

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": "1634601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1356004121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 W 900 N STE C",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601463",
            "telephone_number": "385-200-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 W 900 N STE C",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601463",
            "telephone_number": "385-200-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW GROVE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-19",
        "last_updated": "2025-09-11",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "385-200-0445",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanish Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.