Willow Creek Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WILLOW CREEK COUNSELING LLC

Practice address

8000 Bonhomme Ave
Clayton, MO 63105-3985

Phone

(314) 269-0004

NPI assigned

May 19, 2025

Organization subpart

No

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

Authorized official

Name

Jackie Dewald, LPCNPI 1437563160

Title

Owner/Therapist

Phone

(314) 269-0004

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jackie Dewald

  • Professional Counselor
  • Clayton, MO
  • NPI 1437563160
  NPD Authorized official

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1730971599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 W SAINT ANTHONY LN",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630317914",
            "telephone_number": "314-269-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 BONHOMME AVE",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631053985",
            "telephone_number": "314-269-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW CREEK COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "DEWALD",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "314-269-0004",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derrick Williams
• Frederick Anthony Williams Jr., LPC
• Peyton Williams
• Stacy Williams, CP
• Takeira Williams, RN
• Austin Wilmot, M.S.W., L.C.S.W.
• Mary Wissmann, MS, RD, LD
• Lynn Wolfe, LPC
• Roxann Nicole Wombacher
• Womenscare Gynecology Inc

• Professional Counselor in Clayton, MO
• Providers in Clayton, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.