Active NPI
Willow Counseling Services, LLC
- Mental Health Counselor
- Radcliff, KY
National Provider Identifier
1710494414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amanda Lacefield, LPCC-S
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | admin@willowcounselingllc.com |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Professional Counselor
- Radcliff, KY
- NPI 1235435736
-
- Professional Counselor
- Aurora, IL
- NPI 1003404898
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.