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WILLOW TREE RECOVERY, LLC
NPI 1730456963
Substance Abuse Rehabilitation Facility in Pleasant Grove, UT

Active since November 16, 2011CLIA 46D2035285 · Waiver
145 S 1300 W, PLEASANT GROVE, UT 84062(801) 785-9400(801) 785-9499 Get Directions Write a Review

NPPES record last updated: November 16, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Willow Tree Recovery, Llc NPPES

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

WILLOW TREE RECOVERY, LLC (NPI 1730456963) is a healthcare organization registered as a substance abuse rehabilitation facility in Pleasant Grove, Utah and active in the NPI registry since November 2011. The organization holds a CLIA Waiver certificate valid through January 12, 2028 and lists Jacob C Forsyth, Owner, as its authorized official.

NPPES Registry Identity

NPI1730456963
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameWILLOW TREE RECOVERY, LLC
Location Address145 S 1300 WPleasant Grove, UT 84062-3580
Mailing Address145 S 1300 WPleasant Grove, UT 84062-3580 · (801) 785-9400 · Fax (801) 785-9499
Phone(801) 785-9400
Fax(801) 785-9499
Organization SubpartNo
Authorized OfficialJacob C ForsythOwner · (801) 785-9400
Enumeration DateNovember 16, 2011
✔ NPI 1730456963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in UT · 18489
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
145 S 1300 W, Pleasant Grove, UT 84062
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D2035285

Willow Tree Recovery · Pleasant Grove, UT
Active · expires Jan 12, 2028
CLIA Number46D2035285
Laboratory TypeInpatient Drug Rehab
Certificate Effective DateJanuary 13, 2026
Certificate Expiration DateJanuary 12, 2028
Laboratory DirectorDerry L. Brinley
Laboratory Phone(801) 785-9400
Laboratory LocationWillow Tree Recovery145 So 1300 West, Pleasant Grove, UT 84062
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REX JERRY ALBERTSON LPC
Counselor (Professional)
145 S 1300 W
PLEASANT GROVE, UT 84062
Utah County (801) 785-9400
MS. PAMELA WILSON VANDENAKER M.S.
Counselor (Professional)
145 S 1300 W
PLEASANT GROVE, UT 84062
Utah County (801) 785-9400

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 Recovery, LLC's NPI number?

The NPI number for Willow Tree Recovery, LLC is 1730456963. It was assigned to this organization in the NPPES registry on November 16, 2011.

Where is Willow Tree Recovery, LLC located?

Willow Tree Recovery, LLC is located at 145 S 1300 W, Pleasant Grove, UT 84062. The listed phone number is (801) 785-9400.

What is Willow Tree Recovery, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Willow Tree Recovery, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2035285) is associated with this NPI, valid through January 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Willow Tree Recovery, LLC was last updated on November 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.