Willow Wellness Counseling

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

WILLOW WELLNESS COUNSELING

Practice address

75 Durbin Station CT Ste 303
St Johns, FL 32259-9368

Phone

(904) 274-0065

NPI assigned

Jun 22, 2026

Last updated

Jun 22, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tiffany Cummins, LMHC

Title

Owner

Phone

(904) 274-0065

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1782086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1730015413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 OAKLEAF PLANTATION PKWY STE 304-143",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320653624",
            "telephone_number": "904-274-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 DURBIN STATION CT STE 303",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322599368",
            "telephone_number": "904-274-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW WELLNESS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-22",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "CUMMINS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-274-0065",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Whipple, BCBA
• Lisa M Wiedel, MD
• Heather Wilkins
• Rachel Elizabeth Williams, BEHAVIOR TECHNICIAN
• Monica L Willis
• Tony L. Willson, MD
• Aurora Wilson, CPC
• Katherine Ann Wilson, PA-C
• Edward Steven Wygonik, O.D.
• Emily Wylie

• Mental Health Clinic/Center (Including Community Mental Health Center) in Saint Johns, FL
• Providers in Saint Johns, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.