NPIMap

Organization Active NPI

Willow Counseling LLC

  • Social Worker
  • Champaign, IL
National Provider Identifier
1609427269
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
WILLOW COUNSELING LLC
Practice address
1415 Cobblestone Way
Champaign, IL 61822-2068
Phone
(217) 377-9347
NPI assigned
Sep 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Authorized official

Name
Kristen Hammel, LCPCNPI 1396225199
Title
LCPC
Phone
(217) 377-9347

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

1415 Cobblestone Way
Champaign, IL 61822-2068

Mailing address

1415 Cobblestone Way
Champaign, IL 61822-2068
Phone (217) 377-9347

National Provider Directory

National Provider Directory

Locations

1801 Woodfield Dr
Ste 301
Savoy, IL 61874

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1609427269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 COBBLESTONE WAY",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618222068",
            "telephone_number": "217-377-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 COBBLESTONE WAY",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618222068",
            "telephone_number": "217-377-9347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "HAMMEL",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "LCPC",
        "authorized_official_telephone_number": "217-377-9347",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.