The Willow Tree Center for Counseling, Psychotherapy, and Clinical Hyp

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

I-06664 Issued in NM

Legal business name

THE WILLOW TREE CENTER FOR COUNSELING, PSYCHOTHERAPY, AND CLINICAL HYP

Practice address

3200 Carlisle Blvd NE
Suite 131
Albuquerque, NM 87110-1600

Phone

(505) 301-3678

Fax

(505) 792-2277

NPI assigned

Feb 28, 2014

Last updated

Feb 28, 2014By 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

Mrs. Shannon NC Morfeld, LISW, LCSW, PSYD

Title

Psychotherapist/Owner

Phone

(505) 301-3678

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393545600000",
    "number": "1538584438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 SUMMER RIDGE RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871143434",
            "telephone_number": "505-301-3678",
            "fax_number": "505-792-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 CARLISLE BLVD NE",
            "address_2": "SUITE 131",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101600",
            "telephone_number": "505-301-3678",
            "fax_number": "505-792-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WILLOW TREE CENTER FOR COUNSELING, PSYCHOTHERAPY, AND CLINICAL HYP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-28",
        "last_updated": "2014-02-28",
        "status": "A",
        "authorized_official_last_name": "MORFELD",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "NC",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER",
        "authorized_official_telephone_number": "505-301-3678",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LISW, LCSW, PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "I-06664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25200704",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40024229",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Community/Behavioral Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; 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.