Willow Therapeutic, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WILLOW THERAPEUTIC, PLLC

Practice address

217 Glenwood Ave
Willow Springs, IL 60480-1307

Phone

(574) 238-0438

NPI assigned

Apr 6, 2023

Organization subpart

No

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

Authorized official

Name

Michelle Gessler, LCPCNPI 1497364038

Title

Psychotherapist

Phone

(574) 238-0438

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

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

• Michelle Gessler, LCPC

  • Mental Health Counselor
  • Willow Springs, IL
  • NPI 1497364038
  Medicare reassignment NPD Authorized official
• Jillian Ann Kerchen, MA, LPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1760278253

  Mental Health

  NPD
• Emerson Black, MA, LPC, NCC

  • Professional Counselor
  • Willow Springs, IL
  • NPI 1689431199
  NPD (past)

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680912000000",
    "number": "1801581848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 GLENWOOD AVE",
            "city": "WILLOW SPRINGS",
            "state": "IL",
            "postal_code": "604801307",
            "telephone_number": "574-238-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 GLENWOOD AVE",
            "city": "WILLOW SPRINGS",
            "state": "IL",
            "postal_code": "604801307",
            "telephone_number": "574-238-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW THERAPEUTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-08",
        "certification_date": "2023-04-08",
        "status": "A",
        "authorized_official_last_name": "GESSLER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "574-238-0438",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Y. Tam, RPH
• The Zen Therapy Room LLC
• Village of Willow Springs
• Willow Springs SCH Dist 108
• Willow Therapeutic
• Stephen M Wright, MA, LCPC

• Mental Health Counselor in Willow Springs, IL
• Providers in Willow Springs, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.