Organization Active NPI

Willow Counseling Services, LLC

  • Mental Health Counselor
  • Radcliff, KY
National Provider Identifier
1710494414
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WILLOW COUNSELING SERVICES, LLC
Practice address
562 N Dixie Blvd # B4
Radcliff, KY 40160-1366
Phone
(270) 317-1318
NPI assigned
Jan 3, 2018
Last updated
Jun 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Authorized official

Name
Amanda Lacefield, LPCC-SNPI 1235435736
Title
Managing Member/Therapist
Phone
(270) 363-7513

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
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

562 N Dixie Blvd # B4
Radcliff, KY 40160-1366

Mailing address

1019 Fairview Ave
Radcliff, KY 40160-2407

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@willowcounselingllc.com

National Provider Directory

National Provider Directory

Locations

185 E Lincoln Trail Blvd
Ste D
Radcliff, KY 40160

295 W Lincoln Trail Blvd
Ste D
Radcliff, KY 40160

Practitioners & affiliated clinicians

Practitioners 2

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": "1514937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1710494414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 FAIRVIEW AVE",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401602407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 N DIXIE BLVD # B4",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401601366",
            "telephone_number": "270-317-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-03",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "LACEFIELD",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "MANAGING MEMBER/THERAPIST",
        "authorized_official_telephone_number": "270-363-7513",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@willowcounselingllc.com",
            "affiliation": "N",
            "endpointDescription": "E-mail",
            "address_1": "185 E Lincoln Trail Blvd Ste D",
            "city": "Radcliff",
            "state": "KY",
            "country_code": "US",
            "postal_code": "401601253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Radcliff, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.