Organization Active NPI

Wind and Willow

  • Mental Health Counselor
  • Evans, GA
National Provider Identifier
1902646904
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WIND AND WILLOW
Practice address
533 Bunchgrass St
Evans, GA 30809-0370
Phone
(706) 408-9634
NPI assigned
May 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Authorized official

Name
Caitlin Rose CoopNPI 1548838212
Title
Mental Health Therapist
Phone
(706) 408-9634

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

533 Bunchgrass St
Evans, GA 30809-0370

Mailing address

533 Bunchgrass St
Evans, GA 30809-0370
Phone (706) 408-9634

Other names 1

  • Wind and Willow, LLC Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1902646904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 BUNCHGRASS ST",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308090370",
            "telephone_number": "706-408-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 BUNCHGRASS ST",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308090370",
            "telephone_number": "706-408-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIND AND WILLOW",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "COOP",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "706-408-9634"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wind and Willow, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Evans, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.