WILLOW INTEGRATION LLC
NPI 1609703586
Clinic/Center - Mental Health (Including Community Mental Health Center) in Prescott, AZ
About Willow Integration Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLOW INTEGRATION LLC (NPI 1609703586) is a healthcare organization registered as a mental health (including community mental health center) in Prescott, Arizona and active in the NPI registry since May 2026. The organization lists Lisa Simone Cleary, Owner, 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 Integration 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 Integration 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 Integration LLC's NPI number?
The NPI number for Willow Integration LLC is 1609703586. It was assigned to this organization in the NPPES registry on May 6, 2026.
Where is Willow Integration LLC located?
Willow Integration LLC is located at 550 S Montezuma St Ste A, Prescott, AZ 86303. The listed phone number is (404) 590-2039.
What is Willow Integration LLC'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 Integration LLC enrolled in Medicare?
Yes. Willow Integration LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Willow Integration LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Willow Integration 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 Integration LLC was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 Integration Llc · NPI 1609703586
Mental Health (Including Community Mental Health Center) organization in Prescott, Arizona. Organization record, active in the CMS NPPES registry since May 6, 2026.
## Identity
- **NPI:** 1609703586 (Entity type: Organization)
- **Enumerated:** May 6, 2026
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Lisa Cleary, OWNER
## Practice location
- **Address:** 550 S MONTEZUMA ST STE A, Prescott, AZ 86303-4200
- **Phone:** (404) 590-2039
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1609703586) · Data from the CMS NPPES public registry.