Willow Tree Mental Wellness PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WILLOW TREE MENTAL WELLNESS PLLC

Practice address

5310 Lyman Avenue
Downers Grove, IL 60515

Phone

(630) 517-0397

NPI assigned

Oct 24, 2024

Organization subpart

No

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

Authorized official

Name

Peggy Tomchek, LCPCNPI 1972085199

Title

Owner/Therapist

Phone

(630) 517-0397

Specialties & licenses 1

Addresses

Practitioners 1

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

• Peggy Lynn Tomchek

  • Counselor
  • Naperville, IL
  • NPI 1972085199
  NPD Authorized official

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1457172181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 LYMAN AVENUE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "60515",
            "telephone_number": "630-517-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 LYMAN AVENUE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "60515",
            "telephone_number": "630-517-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW TREE MENTAL WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "TOMCHEK",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "630-517-0397",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William E. Kolbusz, M.D., S.C.
• Jenna MW Williams, OD
• Kirsten Camille Williams, LCSW
• Lisa D Williams, RDH
• Susan Willoughby, APN CNM
• Willowbrook Clinic
• Annette Marie Wilson, M.A.
• Jonathan Paul Wilson, PHD, CCC-SLP
• Laura J Wilson, RDH
• Michael Wince, DDS

• Professional Counselor in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.