WILLOW INTEGRATIVE WELLNESS
NPI 1225825490
Clinic/Center - Mental Health (Including Community Mental Health Center) in Ridgewood, NJ
About Willow Integrative Wellness NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLOW INTEGRATIVE WELLNESS (NPI 1225825490) is a healthcare organization registered as a mental health (including community mental health center) in Ridgewood, New Jersey and active in the NPI registry since April 2025. The organization lists Emily Coyle, Psychiatric Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Integrative Wellness 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 Integrative Wellness, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 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 Integrative Wellness's NPI number?
The NPI number for Willow Integrative Wellness is 1225825490. It was assigned to this organization in the NPPES registry on April 22, 2025.
Where is Willow Integrative Wellness located?
Willow Integrative Wellness is located at 216 E Ridgewood Ave Ste 3B, Ridgewood, NJ 07450. The listed phone number is (201) 637-4345.
What is Willow Integrative Wellness's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Willow Integrative Wellness enrolled in Medicare?
Yes. Willow Integrative Wellness is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Willow Integrative Wellness?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Willow Integrative Wellness. 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, 1 practice at this address and 2 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 Integrative Wellness was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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 Integrative Wellness · NPI 1225825490
Mental Health (Including Community Mental Health Center) organization in Ridgewood, New Jersey. Organization record, active in the CMS NPPES registry since April 22, 2025.
## Identity
- **NPI:** 1225825490 (Entity type: Organization)
- **Enumerated:** April 22, 2025
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Emily Coyle, PSYCHIATRIC NURSE PRACTITIONER
## Practice location
- **Address:** 216 E RIDGEWOOD AVE STE 3B, Ridgewood, NJ 07450-3849
- **Phone:** (201) 637-4345
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1225825490) · Data from the CMS NPPES public registry.