NPIMap

Organization Active NPI

Bradshaw Counseling and Consultation Services LLC

Doing business as Willow Tree Counseling and Consultation Services LLC

  • Mental Health Counselor
  • Batesville, AR
National Provider Identifier
1629568027
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BRADSHAW COUNSELING AND CONSULTATION SERVICES LLC
Doing business as
Willow Tree Counseling and Consultation Services LLC
Willow Tree Counseling and Consultation Services, LLC
Practice address
1141 E Main St Ste 200
Batesville, AR 72501-3014
Phone
(870) 376-2838
Fax
(501) 305-0189
NPI assigned
May 11, 2018
Last updated
Jan 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Authorized official

Name
Mr. Jamie J Bradshaw
Title
Practice Administrator/Co-Founder
Phone
(870) 376-2838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1141 E Main St Ste 200
Batesville, AR 72501-3014

Mailing address

405 W Arch Ave
Searcy, AR 72143-5202
Phone (870) 376-2838

Other practice location 1

431 Highway 145 S
Newport, AR 72112-8679
Phone (870) 376-2838 ext. 1

Other practice location 2

405 W Arch Ave
Searcy, AR 72143-5202
Phone (870) 376-2838 ext. 1

Other names 2

  • Willow Tree Counseling and Consultation Services LLC Doing business as
  • Willow Tree Counseling and Consultation Services, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1141 E Main St
Ste 200
Batesville, AR 72501
Phone (870) 376-2838

431 Highway 145 S
Newport, AR 72112
Phone 8703762838 ext. 1

405 W Arch Ave
Searcy, AR 72143
Phone 8703762838 ext. 1

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1629568027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W ARCH AVE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721435202",
            "telephone_number": "870-376-2838",
            "fax_number": "510-305-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 E MAIN ST STE 200",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725013014",
            "telephone_number": "870-376-2838",
            "fax_number": "501-305-0189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "431 Highway 145 S",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "AR",
            "postal_code": "721128679",
            "country_code": "US",
            "telephone_number": "870-376-2838 x1",
            "fax_number": "501-305-0189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 W Arch Ave",
            "address_purpose": "LOCATION",
            "city": "Searcy",
            "state": "AR",
            "postal_code": "721435202",
            "country_code": "US",
            "telephone_number": "870-376-2838 x1",
            "fax_number": "501-322-9540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRADSHAW COUNSELING AND CONSULTATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-11",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "BRADSHAW",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR/CO-FOUNDER",
        "authorized_official_telephone_number": "870-376-2838",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Tree Counseling and Consultation Services LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Willow Tree Counseling and Consultation Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Batesville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.