1. Home
  2. Directory
  3. Vermont
  4. Brattleboro
  5. Counselor
  6. NPI Profile

MRS. WILLOW NICOLE BROADDUS LCMHC
NPI 1205407970
Counselor - Mental Health in Brattleboro, VT

Active since July 05, 2021PECOS EnrolledAccepts Medicare Assignment
87 BONNYVALE RD, BRATTLEBORO, VT 05301(802) 565-7124 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2026, Apr 12, 2024, Jul 5, 2021 (3 updates tracked since 2021).

About Mrs. Willow Nicole Broaddus Lcmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. WILLOW NICOLE BROADDUS LCMHC (NPI 1205407970) is an individual mental health provider in Brattleboro, Vermont, licensed in Vermont (068.0134330) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1205407970
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. WILLOW NICOLE BROADDUSCredential: LCMHC
Location Address87 BONNYVALE RDBrattleboro, VT 05301-2548
Mailing Address87 Bonnyvale RdBrattleboro, VT 05301-2548 · (802) 565-7124
Phone(802) 565-7124
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 5, 2021
Last NPPES UpdateMay 27, 20263 updates tracked since enumeration
NPPES CertifiedMay 27, 2026
✔ NPI 1205407970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in VT · 068.0134330
87 BONNYVALE RD, Brattleboro, VT 05301
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Willow Nicole Broaddus Lcmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325499932
PECOS Enrollment IDI20240311003491
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willow Broaddus's NPI number?

The NPI number for Willow Broaddus is 1205407970. It was assigned to this individual provider in the NPPES registry on July 5, 2021.

Where is Willow Broaddus located?

Willow Broaddus practices at 87 Bonnyvale Rd, Brattleboro, VT 05301. The listed phone number is (802) 565-7124.

What is Willow Broaddus's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Willow Broaddus enrolled in Medicare?

Yes. Willow Broaddus is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Willow Broaddus accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Willow Broaddus as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Willow Broaddus was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.