Willow Counseling Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WILLOW COUNSELING CENTER

Practice address

1121 E Southeast Loop 323 Ste 103
Tyler, TX 75701-9660

Phone

(903) 483-5272

NPI assigned

Feb 10, 2023

Last updated

Mar 3, 2023By 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

Denise Hazen, LPCNPI 1962020412

Title

Licensed Professional Counselor

Phone

(903) 483-5272

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, and the practitioner matching its NPPES authorized official.

• Denise N Hazen, LPC

  • Mental Health Counselor
  • Tyler, TX
  • NPI 1962020412
  NPD Authorized official

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677801600000",
    "number": "1467159350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 E SOUTHEAST LOOP 323 STE 103",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757019660",
            "telephone_number": "903-483-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 E SOUTHEAST LOOP 323 STE 103",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757019660",
            "telephone_number": "903-483-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A",
        "authorized_official_last_name": "HAZEN",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "903-483-5272",
        "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": []
}

• Sherilyn A. Willis, M.D.
• Tammye Willis, APRN, FNP-C
• Tyler Willis, M.D.
• Anna Beth Willits
• Willow Bend Center
• Willow Wellness Center, P.a.
• James M Willtrout
• Wilson Chiropractic and Acupuncture PLLC (East Texas Family Chiropractic)
• Wilson Renfroe, PSYD, PLLC
• Alexander Wilson, PT, DPT

• Mental Health Counselor in Tyler, TX
• Providers in Tyler, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; 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.