A Willow Bends, LLC

Organization Active NPI Professional Counselor · Woodland Park, CO

NPI 1780055574 · NPPES record last updated Sep 3, 2026

Key facts

NPI
1780055574
Entity type
Organization (NPI type 2)
Primary specialty
Professional Counselor 101YP2500X
Legal business name
A WILLOW BENDS, LLC
Practice address
400 W Midland Ave
Suite 200
Woodland Park, CO 80863-3144
Phone
(719) 650-8114
NPI assigned
Oct 19, 2015
Organization subpart
No

Authorized official

Name
Scheila Farnsworth Watson, MA LPC LAC MAC
Title
Director/Owner
Phone
(719) 650-8114

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 5

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20240806003485 CO Part B Supplier - Clinic/Group Practice 0143767269 Receives reassigned benefits from 2 practitioners
Practice locations: Woodland Park, CO

National Provider Directory

Tax ID family
A Willow Bends LLC (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YA0400X
Mental Health Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YM0800X
Professional Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YP2500X Yes

Addresses

Primary practice location

400 W Midland Ave
Suite 200
Woodland Park, CO 80863-3144

Mailing address

1802 Sandtoft HTS
Colorado Springs, CO 80951-9005
Phone (719) 650-8114

Other practice location 1

1831 Austin Bluffs Pkwy Ste 102
Colorado Springs, CO 80918-7847
Phone (719) 238-5800

Other providers in Woodland Park, CO

All providers in Woodland Park, CO · Professional Counselor in Colorado

Sources for this page

Verify at the official NPI Registry.