Waterford Counseling and Psychological Services, PC
NPI 1104250067 · Clinical Psychologist · Aurora, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Waterford Counseling and Psychological Services, PC is a Clinical Psychologist organization in Aurora, IL (NPI 1104250067).
Provider details
- NPI number
- 1104250067
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Gary Coleman, Clinical Psychologist(630) 898-5322
- License
- 180008137 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 1022 Douglas RdOswego, IL 60543-5133Phone: (630) 898-5322Fax: (630) 636-6120
Registry dates
- Enumerated
- 2013-08-28
- Last updated
- 2023-12-15
- Certified
- 2023-12-15
Frequently asked questions
- What is Waterford Counseling and Psychological Services, PC's NPI number?
- Waterford Counseling and Psychological Services, PC's National Provider Identifier (NPI) is 1104250067, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Waterford Counseling and Psychological Services, PC?
- Waterford Counseling and Psychological Services, PC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Waterford Counseling and Psychological Services, PC located?
- Waterford Counseling and Psychological Services, PC's practice location on file with NPPES is 1256 Waterford Dr, Aurora, IL 60504-4510.
- What is Waterford Counseling and Psychological Services, PC's phone number?
- The practice phone number listed in the NPPES registry for Waterford Counseling and Psychological Services, PC is (630) 898-5322.
- Does Waterford Counseling and Psychological Services, PC accept Medicare?
- Waterford Counseling and Psychological Services, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Waterford Counseling and Psychological Services, PC?
- The authorized official listed on Waterford Counseling and Psychological Services, PC's NPPES record is Gary Coleman, Clinical Psychologist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Waterford Counseling and Psychological Services, PC's NPI active?
- Yes — Waterford Counseling and Psychological Services, PC's NPI (1104250067) is active in the NPPES registry as of the last update on 2023-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.