| Waterford Counseling And Psychological Services, Pc | |
|
1256 Waterford Dr Suite 140 Aurora IL 60504-4510 | |
| (630) 898-5322 | |
| (630) 898-5324 |
| Full Name | Waterford Counseling And Psychological Services, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 1256 Waterford Dr, Aurora, Illinois |
| Authorized Official Name and Position | Gary L Coleman (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6308985322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice 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 Number | 1104250067 |
|---|---|
| Provider Enumeration Date | 08/28/2013 |
| Last Update Date | 12/15/2023 |
| Certification Date | 12/15/2023 |
| Medicare PECOS PAC ID | 7012144017 |
|---|---|
| Medicare Enrollment ID | O20131219001028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104250067 | NPI | - | NPPES |
| Provider Name | Gary L Coleman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407994049 PECOS PAC ID: 2860584349 Enrollment ID: I20070829000103 |
| Provider Name | Jenie N Umana |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497098313 PECOS PAC ID: 2769620905 Enrollment ID: I20130530000386 |
| Provider Name | Sarah G Ridenour |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457562308 PECOS PAC ID: 6002030053 Enrollment ID: I20140612001094 |
| Provider Name | Josephine B Wanki |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134676109 PECOS PAC ID: 4385976901 Enrollment ID: I20191031002945 |
| Provider Name | Gitanjali Mahanti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417456427 PECOS PAC ID: 4587058714 Enrollment ID: I20220303001281 |
| Provider Name | Elizabeth Kingsbury-puscas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942852777 PECOS PAC ID: 2668839820 Enrollment ID: I20230601002978 |
| Provider Name | Mary Anne Mchugh-chaljub |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477812097 PECOS PAC ID: 9133654098 Enrollment ID: I20241202001528 |
| Provider Name | Alondra Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831820109 PECOS PAC ID: 5698203248 Enrollment ID: I20250109001873 |
| Provider Name | Cinthya Valladares |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558965129 PECOS PAC ID: 8224566609 Enrollment ID: I20250113003024 |
| Provider Name | Kysa Epstein |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235440728 PECOS PAC ID: 4789112186 Enrollment ID: I20250113003482 |
| Provider Name | Denise R Meyer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538372305 PECOS PAC ID: 6103354428 Enrollment ID: I20250114001115 |
| Provider Name | Sarah E Kieckhafer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578105268 PECOS PAC ID: 3375071608 Enrollment ID: I20250114001581 |
| Provider Name | Caitlin M Lastres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720587967 PECOS PAC ID: 1951661727 Enrollment ID: I20250122003584 |
| Provider Name | Amy L Coleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033543871 PECOS PAC ID: 4688898075 Enrollment ID: I20250131003301 |
| Provider Name | Thresa Caccavale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134735681 PECOS PAC ID: 2668993528 Enrollment ID: I20250307000824 |
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Horizon Psychology Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2261 Reflections Dr, Aurora, IL 60502 Phone: 331-256-5595 | |
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Association For Individual Development Mental Health Clinic 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 Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 70 S. River St., Aurora, IL 60506 Phone: 630-844-2662 Fax: 630-844-3084 |