Willow Tree Counseling - Medicare Mental Health Clinic in Pueblo, CO

Willow Tree Counseling is a medicare enrolled mental health clinic (Social Worker - Clinical) in Pueblo, Colorado. The current practice location for Willow Tree Counseling is 1612 Bonforte Blvd, Pueblo, Colorado. For appointments, you can reach them via phone at (719) 696-8426. The mailing address for Willow Tree Counseling is 1612 Bonforte Blvd, Pueblo, Colorado and phone number is (719) 696-8426.

Willow Tree Counseling is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1053914788. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (719) 696-8426.

Contact Information

Willow Tree Counseling
1612 Bonforte Blvd
Pueblo
CO 81001-1603
(719) 696-8426
(719) 696-9432

Mental Health Clinic Profile

Full NameWillow Tree Counseling
SpecialitySocial Worker
Location1612 Bonforte Blvd, Pueblo, Colorado
Authorized Official Name and PositionKimberlee Balagat (OWNER)
Authorized Official Contact7196968426
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Willow Tree Counseling
1612 Bonforte Blvd
Pueblo
CO 81001-1603

Ph: (719) 696-8426
Willow Tree Counseling
1612 Bonforte Blvd
Pueblo
CO 81001-1603

Ph: (719) 696-8426

NPI Details:

NPI Number1053914788
Provider Enumeration Date11/17/2020
Last Update Date04/20/2023
Certification Date04/20/2023

Medicare PECOS Information:

Medicare PECOS PAC ID3678923539
Medicare Enrollment IDO20231219002231

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Medical Identifiers

Medical identifiers for Willow Tree Counseling such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053914788NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Primary
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Willow Tree Counseling acts as a billing entity for following providers:
Provider NameKimberlee J Balagat
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1154802577
PECOS PAC ID: 3274885256
Enrollment ID: I20181003001693

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