Organization Active NPI

Willow Creek Counseling, LLC

  • Mental Health Counselor
  • Camp Hill, PA
National Provider Identifier
1952710519
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC005234 Issued in PA
Legal business name
WILLOW CREEK COUNSELING, LLC
Practice address
1517 Cedar Cliff Dr
Suite 101
Camp Hill, PA 17011-7705
Phone
(717) 514-8172
Fax
(717) 303-3454
NPI assigned
Aug 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Authorized official

Name
Michelle Mull, MS, LPC
Title
Owner
Phone
(717) 514-8172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X PC005234 PA Primary

Addresses

Primary practice location

1517 Cedar Cliff Dr
Suite 101
Camp Hill, PA 17011-7705

Mailing address

1517 Cedar Cliff Dr
Suite 101
Camp Hill, PA 17011-7705
Phone (717) 514-8172

National Provider Directory

National Provider Directory

Locations

1517 Cedar Cliff Dr
Ste 101
Camp Hill, PA 17011
Phone (717) 514-8172

NPI Registry JSON

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407369600000",
    "number": "1952710519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 CEDAR CLIFF DR",
            "address_2": "SUITE 101",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170117705",
            "telephone_number": "717-514-8172",
            "fax_number": "717-303-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 CEDAR CLIFF DR",
            "address_2": "SUITE 101",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170117705",
            "telephone_number": "717-514-8172",
            "fax_number": "717-303-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW CREEK COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-07",
        "last_updated": "2014-08-07",
        "status": "A",
        "authorized_official_last_name": "MULL",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-514-8172",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC005234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.