Organization Active NPI

Three Willows Healing

  • Mental Health Counselor
  • Prescott, AZ
National Provider Identifier
1366322117
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THREE WILLOWS HEALING
Practice address
119 Garden St
Prescott, AZ 86305-2905
Phone
(928) 848-8897
NPI assigned
Sep 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Authorized official

Name
Amanda Joan Eliseo, LPCNPI 1508237645
Title
Owner/Therapist
Phone
(000) 000-0000

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

119 Garden St
Prescott, AZ 86305-2905

Mailing address

981 N Latigo LN
Dewey, AZ 86327-5831
Phone (928) 848-8897

National Provider Directory

National Provider Directory

Locations

119 Garden St
Prescott, AZ 86305
Phone (928) 237-4116

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": "1756857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1366322117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 N LATIGO LN",
            "city": "DEWEY",
            "state": "AZ",
            "postal_code": "863275831",
            "telephone_number": "928-848-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 GARDEN ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863052905",
            "telephone_number": "928-848-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE WILLOWS HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "ELISEO",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "000-000-0000",
        "authorized_official_credential": "LPC"
    },
    "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 Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.