Willow Tree Counseling
NPI 1053914788ActiveOrganization· Social Worker, Clinical· Pueblo, CO
Social Worker, Clinical in Pueblo, Colorado, registered in NPPES in November 2020. The authorized official on file is Kimberlee Balagat, LCSW, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053914788 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 17, 2020 |
| Last updated in NPPES | Apr 20, 2023 |
| Certified by provider | Apr 20, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Clinic/Center, Mental Health (Including Community Mental Health Center) | 261QM0801X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CO) |
|---|
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