WILLOW HAVEN COUNSELING LLC
NPI 1588404099
Counselor - Professional in Blakely, PA
About Willow Haven Counseling Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLOW HAVEN COUNSELING LLC (NPI 1588404099) is a healthcare organization registered as a professional in Blakely, Pennsylvania and active in the NPI registry since May 2024. The organization lists Tracy Jensen, Owner And Lpc, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 Haven Counseling Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Willow Haven Counseling LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Haven Counseling LLC's NPI number?
The NPI number for Willow Haven Counseling LLC is 1588404099. It was assigned to this organization in the NPPES registry on May 31, 2024.
Where is Willow Haven Counseling LLC located?
Willow Haven Counseling LLC is located at 1714 Main St, Blakely, PA 18447. The listed phone number is (814) 232-7112.
What is Willow Haven Counseling LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Willow Haven Counseling LLC enrolled in Medicare?
Yes. Willow Haven Counseling LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Willow Haven Counseling LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Willow Haven Counseling LLC. 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. 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 Haven Counseling LLC was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 Haven Counseling Llc · NPI 1588404099
Professional organization in Blakely, Pennsylvania. Organization record, active in the CMS NPPES registry since May 31, 2024.
## Identity
- **NPI:** 1588404099 (Entity type: Organization)
- **Enumerated:** May 31, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Tracy Jensen, OWNER AND LPC
## Practice location
- **Address:** 1714 MAIN ST, Blakely, PA 18447-1362
- **Phone:** (814) 232-7112
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1588404099) · Data from the CMS NPPES public registry.