Willow Wellness Center

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

28663 Issued in CA

Legal business name

WILLOW WELLNESS CENTER

Practice address

2571 California Park Dr Ste 210
Chico, CA 95928-4042

Phone

(530) 828-5698

NPI assigned

Sep 21, 2015

Last updated

Sep 21, 2015By 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

Christa Helen Taylor, LCSWNPI 1245305614

Title

Owner/Manager

Phone

(530) 828-5698

Specialties & licenses 1

Addresses

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.

• Christa Helen Taylor, LCSW

  • Clinical Social Worker
  • Chico, CA
  • NPI 1245305614
  NPD (past) Authorized official

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1932578812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 KERN ST",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959284132",
            "telephone_number": "530-828-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2571 CALIFORNIA PARK DR STE 210",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959284042",
            "telephone_number": "530-828-5698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "CHRISTA",
        "authorized_official_middle_name": "HELEN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "530-828-5698",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "28663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Willis, M.A., CCC-SLP
• Raen E Willis
• Rylan Willis, PT, DPT
• Willow Glen Care Center
• Willow Glen Care Center
• Joseph Boone Wills III, MFT
• Dale J. Wilms, M.D.
• Adrienne Wilson, LMFT
• Christine Elizabeth Wilson
• Daedalys Robert Wilson, LMFT

• Health Maintenance Organization in Chico, CA
• Providers in Chico, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.