Willowtree Therapeutic Services, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WILLOWTREE THERAPEUTIC SERVICES, INC.

Practice address

544 Riviera Rd
Valparaiso, IN 46385-8127

Phone

(219) 200-6125

NPI assigned

Aug 16, 2021

Last updated

Aug 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jade Hall

Title

LMHC/Owner

Phone

(219) 200-6125

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jade Lynn Eytcheson, LMHC

  • Mental Health Counselor
  • Merrillville, IN
  • NPI 1548933542
  NPD (past)

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1811662430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 RIVIERA RD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463858127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 RIVIERA RD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463858127",
            "telephone_number": "219-200-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWTREE THERAPEUTIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JADE",
        "authorized_official_title_or_position": "LMHC/OWNER",
        "authorized_official_telephone_number": "219-200-6125"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Williams, LMHC, NCC
• Randall Edward Williams, DDS
• Sanyjah Williams
• Vera Williams, BA
• Todd Spencer Willis, L.M.H.C., L.P.C.
• Taylor Wilson
• Wade Wilson
• Whitney Anne Winkel, PTA
• Winston Rayburn Counseling Services, LLC
• Christopher M Wirsing, D.O.

• Mental Health Counselor in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.