Willow & Leaf PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

WILLOW & LEAF PLLC

Doing business as

Willow & Leaf Counseling

Practice address

1658 N Milwaukee Ave # 3671
Chicago, IL 60647-6905

Phone

(872) 365-6087

NPI assigned

Dec 8, 2021

Last updated

Aug 21, 2024By 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

Jordan A Dobrowski, LCSWNPI 1750875159

Title

Founder, Psychotherapist

Phone

(872) 365-5086

Specialties & licenses 3

Addresses

Other names 1

• Willow & Leaf Counseling Doing business as

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.

• Jordan A Dobrowski, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1750875159
  NPD Authorized official
• Hector R Zavala, LCPC, LMHC

  • Professional Counselor
  • Highland, IN
  • NPI 1679852255
  NPD
• Anastasiya Andreeva

  • Clinical Social Worker
  • Berwyn, IL
  • NPI 1124542394
  NPD (past)

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1972262806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1658 N MILWAUKEE AVE # 3671",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606476905",
            "telephone_number": "872-365-5086",
            "fax_number": "800-991-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1658 N MILWAUKEE AVE # 3671",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606476905",
            "telephone_number": "872-365-6087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW & LEAF PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "DOBROWSKI",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FOUNDER, PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "872-365-5086",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow & Leaf Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Willow & Leaf Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paula Willoughby Dejesus, DO
• Rebekah Leigh Willoughby, AUD
• Stewart Gordon Willoughby, DDS LDS RCS MS
• Willow & Birch LLC
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• Willow and Ivy Counseling, PLLC
• Willow Behavioral Health, PLLC
• Willow Branch Hospice, LLC (Willow Branch Hospice)
• Willow Krafcik Psychotherapy and Consulting PLLC
• Willow Lactation PLLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

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