Willow Tree Mental Health Clinic, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WILLOW TREE MENTAL HEALTH CLINIC, LLC

Practice address

N5273 State Highway 27
Ladysmith, WI 54848-1101

Phone

(715) 532-0281

Fax

(715) 532-0399

NPI assigned

Oct 4, 2023

Organization subpart

No

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

Authorized official

Name

Debra Koltis

Title

Office Manager

Phone

(715) 497-6478

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Becca Greub, PH.D

  • Clinical Psychologist
  • Owen, WI
  • NPI 1720477185
  NPD
• Mariah Smugala, MS, LPC

  • Professional Counselor
  • Owen, WI
  • NPI 1184002560
  NPD

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1548040744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 234",
            "city": "LADYSMITH",
            "state": "WI",
            "postal_code": "548480234",
            "telephone_number": "715-532-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N5273 STATE HIGHWAY 27",
            "city": "LADYSMITH",
            "state": "WI",
            "postal_code": "548481101",
            "telephone_number": "715-532-0281",
            "fax_number": "715-532-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW TREE MENTAL HEALTH CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-04",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "KOLTIS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "715-497-6478"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP
• Becky Wallin, M.S., CCC-SLP
• Vern W Weeks, MSSW
• Western Region Recovery & Wellness Consortia
• Wildwood Acupuncture
• Katherine Suzanne Winiarczyk, MD
• Rochelle Wood
• Brandi A Workman, LPN
• John L Ziemer, MD
• Alexander Zimmer

• Professional Counselor in Ladysmith, WI
• Providers in Ladysmith, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.