Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Willow Grove Wellness, LLC

Clinical Social Worker in Flat Rock, IN · enumerated 2022 · authorized official Jessica Jacobs, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104565605

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Registry record

Entity type Organization (Type 2)

Legal business name Willow Grove Wellness, LLC

Practice address 10315 S 275 E, Flat Rock, IN, 47234

Phone (317) 426-1847

Enumeration date Jun 2, 2022

Last updated in NPPES Jun 2, 2022

Taxonomy & classification

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Primary

Authorized official

Name Jessica Jacobs

Title Owner

Phone (317) 426-1847

Other identifiers

Identifier	Type	State	Issuer
1255733689	Medicaid	IN	-
1972071405	Medicaid	IN	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-06-02. Verify at npiregistry.cms.hhs.gov.

Where is Willow Grove Wellness, LLC located?

The practice location on file with NPPES is in Flat Rock, IN.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-06-02.