Organization Active NPI

Willow Tree Therapy

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1750908240
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WILLOW TREE THERAPY
Practice address
1040 E 86TH St Ste 44C
Indianapolis, IN 46240-1856
Phone
(317) 649-8738
Fax
(317) 342-5145
NPI assigned
Jun 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Authorized official

Name
Ms. Catherine Renee Holcomb, LCSWNPI 1942321112
Title
Owner/Provider
Phone
(317) 649-8738

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1040 E 86TH St Ste 44C
Indianapolis, IN 46240-1856

Mailing address

1040 E 86TH St Ste 44C
Indianapolis, IN 46240-1856
Phone (317) 649-8738

National Provider Directory

National Provider Directory

Locations

1040 E 86th St
Ste 44N
Indianapolis, IN 46240
Phone (317) 721-5821

1040 E 86th St
Ste 44C
Indianapolis, IN 46240
Phone (317) 649-8738

Practitioners & affiliated clinicians

Practitioners 1

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": "1593475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1750908240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 E 86TH ST STE 44C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401856",
            "telephone_number": "317-649-8738",
            "fax_number": "317-342-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 E 86TH ST STE 44C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401856",
            "telephone_number": "317-649-8738",
            "fax_number": "317-342-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW TREE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-30",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "HOLCOMB",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "317-649-8738",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.