WILLOW TREE COUNSELING
NPI 1053914788
Social Worker - Clinical in Pueblo, CO
About Willow Tree Counseling NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLOW TREE COUNSELING (NPI 1053914788) is a healthcare organization registered as a clinical in Pueblo, Colorado and active in the NPI registry since November 2020. The organization lists Kimberlee Balagat, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Willow Tree Counseling is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Willow Tree Counseling, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Willow Tree Counseling's NPI number?
The NPI number for Willow Tree Counseling is 1053914788. It was assigned to this organization in the NPPES registry on November 17, 2020.
Where is Willow Tree Counseling located?
Willow Tree Counseling is located at 1612 Bonforte Blvd, Pueblo, CO 81001. The listed phone number is (719) 696-8426.
What is Willow Tree Counseling's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Willow Tree Counseling enrolled in Medicare?
Yes. Willow Tree Counseling is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Willow Tree Counseling?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Willow Tree Counseling. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Willow Tree Counseling was last updated on April 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Willow Tree Counseling · NPI 1053914788
Clinical organization in Pueblo, Colorado. Organization record, active in the CMS NPPES registry since November 17, 2020.
## Identity
- **NPI:** 1053914788 (Entity type: Organization)
- **Enumerated:** November 17, 2020
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **Organization subpart:** No
- **Authorized official:** Kimberlee Balagat, OWNER
## Practice location
- **Address:** 1612 BONFORTE BLVD, Pueblo, CO 81001-1603
- **Phone:** (719) 696-8426 · **Fax:** (719) 696-9432
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Clinical Social Worker) reassign Medicare billing to this organization (form CMS-855R); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 20, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1053914788) · Data from the CMS NPPES public registry.