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WISE WILLOW INC
NPI 1992522965
Clinic/Center - Adult Mental Health in Oak Lawn, IL

Active since September 23, 2024
10522 S CICERO AVE STE 304, OAK LAWN, IL 60453(708) 275-0934(888) 419-1594 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 19, 2024, Sep 23, 2024 (2 updates tracked since 2024).

About Wise Willow Inc NPPES

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

WISE WILLOW INC (NPI 1992522965) is a healthcare organization registered as an adult mental health in Oak Lawn, Illinois and active in the NPI registry since September 2024. The organization lists Timothy M Jenkins, President, as its authorized official.

NPPES Registry Identity

NPI1992522965
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameWISE WILLOW INC
Location Address10522 S CICERO AVE STE 304Oak Lawn, IL 60453-5292
Mailing AddressPo Box 764Manteno, IL 60950-0764 · (708) 275-0934
Phone(708) 275-0934
Fax(888) 419-1594
Organization SubpartNo
Authorized OfficialTimothy M JenkinsPresident · (708) 275-0934
Enumeration DateSeptember 23, 2024
Last NPPES UpdateJanuary 22, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2025
✔ NPI 1992522965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
10522 S CICERO AVE STE 304, Oak Lawn, IL 60453
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wise Willow Inc 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 Wise Willow Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Timothy Jenkins, M.A.
Mental Health Counselor
NPI 1043378250
5320 159TH ST STE 100
Oak Forest, IL 60452
(708) 275-0934
✔ PECOS✔ Accepts Medicare6.8 mi

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 Wise Willow Inc's NPI number?

The NPI number for Wise Willow Inc is 1992522965. It was assigned to this organization in the NPPES registry on September 23, 2024.

Where is Wise Willow Inc located?

Wise Willow Inc is located at 10522 S Cicero Ave Ste 304, Oak Lawn, IL 60453. The listed phone number is (708) 275-0934.

What is Wise Willow Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Wise Willow Inc enrolled in Medicare?

Yes. Wise Willow Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wise Willow Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Wise Willow Inc. 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.

What insurance does Wise Willow Inc accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Wise Willow Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wise Willow Inc was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.