Mrs Willow Nicole Broaddus, LCMHC, LPC, MA is a medicare enrolled "Counselor - Mental Health" provider in Granville, Vermont. She graduated from healthcare school in 2017 and has 9 years of diverse experience with area of expertise as Mental Health Counselor. Her current practice location is
138 Old Stage Rd, Granville, Vermont. You can reach out to her office (for appointments etc.) via phone at
(802) 565-7124.
Mrs Willow Nicole Broaddus is licensed to practice in Vermont (license number 068.0134330) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205407970.
Healthcare Provider's Profile
| Full Name | Mrs Willow Nicole Broaddus |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 9 Years |
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| Location | 138 Old Stage Rd, Granville, Vermont |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Willow Nicole Broaddus graduated from medical school in 2017
NPI Data:
- NPI Number: 1205407970
- Provider Enumeration Date: 07/05/2021
- Last Update Date: 04/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 8325499932
- Enrollment ID: I20240311003491
Medical Identifiers
Medical identifiers for Mrs Willow Nicole Broaddus such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1205407970 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 068.0134330 (Vermont) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Willow Nicole Broaddus is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mrs Willow Nicole Broaddus, LCMHC, LPC, MA Po Box 165, Hancock, VT 05748-0165 Ph: (802) 565-7124 | Mrs Willow Nicole Broaddus, LCMHC, LPC, MA 138 Old Stage Rd, Granville, VT 05747-9675 Ph: (802) 565-7124 |
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