NPIMap

Organization Active NPI

Willow Counseling, PLLC

  • Mental Health Counselor
  • Nashville, TN
National Provider Identifier
1730835869
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WILLOW COUNSELING, PLLC
Practice address
2505 21St Ave S Ste 440
Nashville, TN 37212-5652
Phone
(615) 235-3508
NPI assigned
Feb 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Kacey Holley, LPC-MHSPNPI 1093309817
Title
Staff Therapist
Phone
(903) 241-4700

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X

Addresses

Primary practice location

2505 21St Ave S Ste 440
Nashville, TN 37212-5652

Mailing address

2505 21St Ave S Ste 440
Nashville, TN 37212-5652

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@willowcounseling.org

National Provider Directory

National Provider Directory

Locations

2505 21st Ave S
Ste 440
Nashville, TN 37212
Phone (615) 235-3508

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1730835869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 21ST AVE S STE 440",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372125652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 21ST AVE S STE 440",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372125652",
            "telephone_number": "615-235-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "HOLLEY",
        "authorized_official_first_name": "KACEY",
        "authorized_official_title_or_position": "STAFF THERAPIST",
        "authorized_official_telephone_number": "903-241-4700",
        "authorized_official_credential": "LPC-MHSP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@willowcounseling.org",
            "affiliation": "N",
            "address_1": "2505 21st Ave S Ste 440",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372125652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.