WILLOW CREEK RANCH, INC.
NPI 1417334988
Clinic/Center - Adolescent and Children Mental Health in Mukwonago, WI

Q: What is Willow Creek Ranch, Inc.'s NPI number?

The NPI number for Willow Creek Ranch, Inc. is 1417334988. It was assigned to this organization in the NPPES registry on May 4, 2015.

Q: What is Willow Creek Ranch, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Active since May 04, 2015

7404 NORTHWEST HWY # 83, MUKWONAGO, WI 53149(414) 791-2509 Get Directions Write a Review

NPPES record last updated: May 5, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Willow Creek Ranch, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLOW CREEK RANCH, INC. (NPI 1417334988) is a healthcare organization registered as an adolescent and children mental health in Mukwonago, Wisconsin and active in the NPI registry since May 2015. The organization lists Jennifer S. Pape, Founder/executive Director, as its authorized official.

NPPES Registry Identity

NPI1417334988

Entity TypeOrganization

Primary Taxonomy261QM0855X

Legal Business NameWILLOW CREEK RANCH, INC.

Location Address7404 NORTHWEST HWY # 83Mukwonago, WI 53149-8903

Mailing Address7404 Northwest Hwy # 83Mukwonago, WI 53149-8903 · (414) 791-2509

Phone(414) 791-2509

Organization SubpartNo

Authorized OfficialJennifer S. PapeFounder/executive Director · (414) 791-2509

Enumeration DateMay 4, 2015

Last NPPES UpdateMay 5, 2015

✔ NPI 1417334988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0855X

License✔ Licensed in WI · 091707

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

7404 NORTHWEST HWY # 83, Mukwonago, WI 53149

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Other Identifiers 1

Medicaid091707WI

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 Creek Ranch, Inc.'s NPI number?

The NPI number for Willow Creek Ranch, Inc. is 1417334988. It was assigned to this organization in the NPPES registry on May 4, 2015.

Where is Willow Creek Ranch, Inc. located?

Willow Creek Ranch, Inc. is located at 7404 Northwest Hwy # 83, Mukwonago, WI 53149. The listed phone number is (414) 791-2509.

What is Willow Creek Ranch, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Willow Creek Ranch, Inc. was last updated on May 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.