Willow Tree Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WILLOW TREE COUNSELING

Practice address

408 N Main St
Rocky Ford, CO 81067-1256

Phone

(719) 696-8426

NPI assigned

Jul 22, 2022

Last updated

Oct 30, 2023By 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

Kimberly Balagat, CLSW

Title

Owner

Phone

(719) 528-0959

Specialties & licenses 2

Addresses

Tax ID family

Willow Tree Counseling3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Willow Tree Counseling

  • Clinical Social Worker
  • Pueblo, CO
  • NPI 1053914788
  NPD tax ID
• Willow Tree Counseling

  • Clinical Social Worker
  • Pueblo, CO
  • NPI 1639804578
  NPD tax ID

Locations

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.

• Kimberlee Balagat

  • Clinical Social Worker
  • Pueblo, CO
  • NPI 1154802577
  NPD (past)

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1891420733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2227 N ELIZABETH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810031809",
            "telephone_number": "719-696-8426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 N MAIN ST",
            "city": "ROCKY FORD",
            "state": "CO",
            "postal_code": "810671256",
            "telephone_number": "719-696-8426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW TREE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-22",
        "last_updated": "2023-10-30",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "BALAGAT",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-528-0959",
        "authorized_official_credential": "CLSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley-Wide Health Systems, Inc (Rocky Ford Clinic)
• Valley-Wide Health Systems, Inc. (Valley-Wide Counseling & Support Center- Rocky Ford)
• Walter Chiropractic
• Thomas T Walter, D.C.
• Jenna White

• Clinical Social Worker in Rocky Ford, CO
• Providers in Rocky Ford, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.