Willow Tree Counseling Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WILLOW TREE COUNSELING SERVICES LLC

Practice address

613 Walnut St
Boulder, CO 80302-5031

Phone

(303) 995-8512

NPI assigned

Oct 14, 2020

Last updated

Oct 14, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

WILLOW TREE COUNSELING SERVICES LLCAs reported in NPPES

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

Authorized official

Name

Ms. Bridget M Blasius, LPCNPI 1114341104

Title

Licensed Professional Counselor

Phone

(303) 995-8512

Specialties & licenses 1

Addresses

Tax ID family

Willow Tree Counseling SVCS2 organizations share this tax ID, including this one

Part of

Willow Tree Counseling SVCS

Other organizations with this tax ID 1

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

• Willow Tree Counseling Services LLC

  • Mental Health Counselor
  • Wheat Ridge, CO
  • NPI 1558837427
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Willow Tree Counseling Services LLC

  • Mental Health Counselor
  • Wheat Ridge, CO
  • NPI 1558837427
  NPPES parent name

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.

• Bridget M Blasius, MA, LPC

  • Mental Health Counselor
  • Wheat Ridge, CO
  • NPI 1114341104
  NPD Authorized official

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1942808712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 WALNUT ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025031",
            "telephone_number": "303-995-8512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 WALNUT ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025031",
            "telephone_number": "303-995-8512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW TREE COUNSELING SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILLOW TREE COUNSELING SERVICES LLC",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "BLASIUS",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "303-995-8512",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paris Williams
• Sarah Megan Williams, NCBTMB
• William J Williams, MD
• Benjamin Williamson, NP
• Suzanne M Williamson, D.C.
• Leandra Wills, MA
• Bettina Willuhn, P.A.
• Elizabeth Wilmer
• Gillian Kenny Wilschke, MA
• Carmen Wilson, MT

• Mental Health Counselor in Boulder, CO
• Providers in Boulder, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.