Willowglen Academy
NPI 1962171173 · Mental Illness Community Based Residential Treatment Facility · Springfield, IL
Willowglen Academy is a Mental Illness Community Based Residential Treatment Facility organization in Springfield, IL (NPI 1962171173).
Provider details
- NPI number
- 1962171173
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Kedrian Coleman, Director Revenue Cycle(919) 709-0197
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Broadstep Academy-Illinois Inc
Registry dates
- Enumerated
- 2021-09-10
- Last updated
- 2021-09-10
- Certified
- 2021-08-25
Frequently asked questions
- What is Willowglen Academy's NPI number?
- Willowglen Academy's National Provider Identifier (NPI) is 1962171173, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Willowglen Academy?
- Willowglen Academy is classified in the NPPES registry as Mental Illness Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Willowglen Academy located?
- Willowglen Academy's practice location on file with NPPES is 1520 Hosta St, Springfield, IL 62712-7557.
- What is Willowglen Academy's phone number?
- The practice phone number listed in the NPPES registry for Willowglen Academy is (414) 240-6815.
- Who is the authorized official for Willowglen Academy?
- The authorized official listed on Willowglen Academy's NPPES record is Kedrian Coleman, Director Revenue Cycle. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Willowglen Academy's NPI active?
- Yes — Willowglen Academy's NPI (1962171173) is active in the NPPES registry as of the last update on 2021-09-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.