NPIMap

Organization Active NPI

Willow Springs LLC

Doing business as Willow Springs Center

  • Psychiatric Residential Treatment Facility
  • Reno, NV
National Provider Identifier
1790883205
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
671 HO5-13 Issued in NV
Legal business name
WILLOW SPRINGS LLC
Doing business as
Willow Springs Center
Practice address
690 Edison Way
Reno, NV 89502-4100
Phone
(775) 789-4245
Fax
(775) 789-4260
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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

Authorized official

Name
Steve Filton
Title
Sr VP Cfo
Phone
(610) 738-3300

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X
Foster Care Agency 253J00000X GF125402227 NV
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Psychiatric Residential Treatment Facility 323P00000X 671 HO5-13 NV Primary

Addresses

Primary practice location

690 Edison Way
Reno, NV 89502-4100

Mailing address

PO Box 30012
Reno, NV 89520-3012
Phone (775) 789-4245

Other identifiers 1

IdentifierTypeStateIssuer
006316600MedicaidNV

Other names 1

  • WILLOW SPRINGS CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Psychiatric residential treatment facility certification: CCN 29L016

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
WILLOW SPRINGS
Certification status
Active
Provider type (POS)
Psychiatric residential treatment facility
Participating since
Nov 18, 2024
Last certification
Nov 18, 2024
Beds
5
Ownership / control type
Government – state
Facility address
690 Edison Way
Reno, NV 89502

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D0897676Willow Springs Center690 Edison Way, Reno, NV 89502Certificate of waiverFeb 9, 2027

National Provider Directory

National Provider Directory
Tax ID family
Willow Springs LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1790883205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30012",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895203012",
            "telephone_number": "775-789-4245",
            "fax_number": "775-789-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 EDISON WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895024100",
            "telephone_number": "775-789-4245",
            "fax_number": "775-789-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW SPRINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "SR VP CFO",
        "authorized_official_telephone_number": "610-738-3300"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "NV",
            "license": "GF125402227",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NV",
            "license": "671 HO5-13",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006316600",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WILLOW SPRINGS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.