Willow Bloom Counseling PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WILLOW BLOOM COUNSELING PLLC

Practice address

3622 Lyckan Pkwy Ste 3002
Durham, NC 27707-2572

Phone

(919) 974-7970

NPI assigned

Sep 22, 2023

Organization subpart

No

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

Authorized official

Name

Sarah Berro, LCMHCANPI 1326603242

Title

Owner

Phone

(919) 794-7970

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah Berro, LCMHCA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1326603242
  NPD Authorized official

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1437938149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 CINNAMON DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277138236",
            "telephone_number": "859-519-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622 LYCKAN PKWY STE 3002",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072572",
            "telephone_number": "919-974-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW BLOOM COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "BERRO",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-794-7970",
        "authorized_official_credential": "LCMHCA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen N. Willis, CCSW
• Michael Gregory Willis, PHARM.D.
• Rheaya Willis, MD
• Lesharo Lashea Willoughby Haywood, CPNP-PC
• Ann S Willoughby
• Willow Oak Therapy, PLLC
• Erin Wills, NP
• Jennifer Kellner Wills, MD
• Wilmarie Rios Jaime Therapy, PLLC
• Dennis Alan Wilpan

• Mental Health Counselor in Durham, NC
• Providers in Durham, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.