NPIMap

Organization Active NPI

Willows Edge LLC

  • Community/Behavioral Health Agency
  • Lake Orion, MI
National Provider Identifier
1730484965
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6401009232 Issued in MI
Legal business name
WILLOWS EDGE LLC
Practice address
81 Indianwood Rd
Lake Orion, MI 48362-1595
Phone
(248) 894-4911
NPI assigned
Jan 19, 2011
Last updated
Jan 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Authorized official

Name
Mrs. Karen Renee Smigelski, LPCNPI 1033415245
Title
Owner / Counselor
Phone
(248) 894-4911

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
Community/Behavioral Health Agency 251S00000X 6401009232 MI Primary

Addresses

Primary practice location

81 Indianwood Rd
Lake Orion, MI 48362-1595

Mailing address

PO Box 311
Lake Orion, MI 48361-0311
Phone (248) 894-4911

National Provider Directory

National Provider Directory

Locations

81 Indianwood Rd
Lake Orion, MI 48362
Phone (248) 693-2321

2 S Washington St
#B
Oxford, MI 48371
Phone (248) 834-0614

Practitioners & affiliated clinicians

Practitioners 5

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": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1730484965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 311",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483610311",
            "telephone_number": "248-894-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 INDIANWOOD RD",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483621595",
            "telephone_number": "248-894-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWS EDGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "SMIGELSKI",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER / COUNSELOR",
        "authorized_official_telephone_number": "248-894-4911",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6401009232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Orion, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; 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.