Willow Counseling and Therapeutic Art Center

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WILLOW COUNSELING AND THERAPEUTIC ART CENTER

Practice address

615 N Sherman Ave Ste 24
Madison, WI 53704-4457

Phone

(608) 445-2510

Fax

(262) 293-9777

NPI assigned

Dec 28, 2023

Organization subpart

No

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

Authorized official

Name

Dawn M Liberski

Title

Office Manager

Phone

(414) 426-8910

Specialties & licenses 2

Addresses

Locations

Practitioners 3

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.

• Jeremy Paul Boudreaux, LCSW

  • Clinical Social Worker
  • Madison, WI
  • NPI 1790247757
  NPD
• Laura Janel Stoesz, LPC IT

  • Mental Health Counselor
  • Madison, WI
  • NPI 1720815137
  NPD
• Tammi L Zine, LPC

  • Professional Counselor
  • Madison, WI
  • NPI 1790856409
  NPD

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1912776253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N SHERMAN AVE STE 24",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537044457",
            "telephone_number": "608-445-2510",
            "fax_number": "262-293-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N SHERMAN AVE STE 24",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537044457",
            "telephone_number": "608-445-2510",
            "fax_number": "262-293-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW COUNSELING AND THERAPEUTIC ART CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-28",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "LIBERSKI",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "414-426-8910"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Willman, CRNA
• Karl Willmann, MD
• Corinne Katherine Willner, D.C.
• Alexis Willoughby
• Willow Behavioral Health LLC
• Willow Tree Chiropractic LLC
• Cerissa Jean Wills, LMFT
• Sabrina Wills
• Linda D Willsey, PHARM.D.
• Alison S Wilmeth, MD

• Professional Counselor in Madison, WI
• Providers in Madison, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.