Waterford Counseling And Psychological Services, Pc - Medicare Mental Health Clinic in Aurora, IL

Waterford Counseling And Psychological Services, Pc is a medicare enrolled mental health clinic (Psychologist - Clinical) in Aurora, Illinois. The current practice location for Waterford Counseling And Psychological Services, Pc is 1256 Waterford Dr, Suite 140, Aurora, Illinois. For appointments, you can reach them via phone at (630) 898-5322. The mailing address for Waterford Counseling And Psychological Services, Pc is 1256 Waterford Dr, Suite 140, Aurora, Illinois and phone number is (630) 898-5322.

Waterford Counseling And Psychological Services, Pc is licensed to practice in Illinois (license number 071006641). The clinic also participates in the medicare program and its NPI number is 1104250067. 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 (630) 898-5322.

Contact Information

Waterford Counseling And Psychological Services, Pc
1256 Waterford Dr
Suite 140
Aurora
IL 60504-4510
(630) 898-5322
(630) 898-5324

Mental Health Clinic Profile

Full NameWaterford Counseling And Psychological Services, Pc
SpecialityPsychologist
Location1256 Waterford Dr, Aurora, Illinois
Authorized Official Name and PositionGary L Coleman (CLINICAL PSYCHOLOGIST)
Authorized Official Contact6308985322
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Waterford Counseling And Psychological Services, Pc
1256 Waterford Dr
Suite 140
Aurora
IL 60504-4510

Ph: (630) 898-5322
Waterford Counseling And Psychological Services, Pc
1256 Waterford Dr
Suite 140
Aurora
IL 60504-4510

Ph: (630) 898-5322

NPI Details:

NPI Number1104250067
Provider Enumeration Date08/28/2013
Last Update Date12/15/2023
Certification Date12/15/2023

Medicare PECOS Information:

Medicare PECOS PAC ID7012144017
Medicare Enrollment IDO20131219001028

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Medical Identifiers

Medical identifiers for Waterford Counseling And Psychological Services, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104250067NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional 180008137 (Illinois)Secondary
101YP2500XCounselor - Professional 180007319 (Illinois)Secondary
103T00000XPsychologist (* (Not Available))Secondary
103TC0700XPsychologist - Clinical 071006641 (Illinois)Primary
103TC0700XPsychologist - Clinical (* (Not Available))Secondary
1041C0700XSocial Worker - Clinical 149007223 (Illinois)Secondary
1041C0700XSocial Worker - Clinical 149007369 (Illinois)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Waterford Counseling And Psychological Services, Pc acts as a billing entity for following providers:
Provider NameGary L Coleman
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1407994049
PECOS PAC ID: 2860584349
Enrollment ID: I20070829000103

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Provider NameMaria Santiago
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1831325497
PECOS PAC ID: 6901086537
Enrollment ID: I20110214000621

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Provider NameJenie N Umana
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1497098313
PECOS PAC ID: 2769620905
Enrollment ID: I20130530000386

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Provider NameSarah G Ridenour
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1457562308
PECOS PAC ID: 6002030053
Enrollment ID: I20140612001094

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Provider NameElizabeth Kingsbury-puscas
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1942852777
PECOS PAC ID: 2668839820
Enrollment ID: I20230601002978

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Read more News

› Verified 3 days ago

Psychologist in Aurora, IL

Gateway Foundation, Inc.
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Medicare: Not Enrolled in Medicare
Practice Location: 400 Mercy Ln, Aurora, IL 60506
Phone: 877-505-4673    Fax: 630-897-7539
Lighthouse Counseling Center Llc
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Practice Location: 143 S Lincoln Ave, Aurora, IL 60505
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Horizon Psychology Services, Llc
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Best U Therapy Pllc
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Medicare: Not Enrolled in Medicare
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Phone: 630-392-4406    
Association For Individual Development
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Medicare: Not Enrolled in Medicare
Practice Location: 1305 E. New Indian Trail, Aurora, IL 60505
Phone: 630-966-4290    Fax: 630-978-7962
Family Counseling Service Of Aurora
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Medicare: Medicare Enrolled
Practice Location: 70 S. River St., Aurora, IL 60506
Phone: 630-844-2662    Fax: 630-844-3084
Lutheran Social Services Of Illinois
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Medicare: Not Enrolled in Medicare
Practice Location: 85 Hankes Ave, Aurora, IL 60505
Phone: 630-896-2714    Fax: 630-896-5613

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