WILLOWDALE COUNSELING CENTER, PLLC
NPI 1376635102
Psychologist - Clinical in Nashua, NH

Active since September 29, 2006
76 NORTHEASTERN BLVD STE 36A, NASHUA, NH 03062(603) 881-7554(603) 881-7533 Get Directions Write a Review

NPPES record last updated: September 1, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Willowdale Counseling Center, Pllc NPPES

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

WILLOWDALE COUNSELING CENTER, PLLC (NPI 1376635102) is a healthcare organization registered as a clinical in Nashua, New Hampshire and active in the NPI registry since September 2006. The organization lists Timothy C. Bray, Owner, as its authorized official.

NPPES Registry Identity

NPI1376635102
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameWILLOWDALE COUNSELING CENTER, PLLC
Location Address76 NORTHEASTERN BLVD STE 36ANashua, NH 03062-3196
Mailing Address76 Northeastern Blvd Ste 36aNashua, NH 03062-3196 · (603) 881-7554 · Fax (603) 881-7533
Fax(603) 881-7533
Organization SubpartNo
Authorized OfficialTimothy C. BrayOwner · (603) 881-7554
Enumeration DateSeptember 29, 2006
Last NPPES UpdateSeptember 1, 2021
NPPES CertifiedSeptember 1, 2021
✔ NPI 1376635102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NH · 941
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
76 NORTHEASTERN BLVD STE 36A, Nashua, NH 03062

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Willowdale Counseling Center, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Willowdale Counseling Center, PLLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Clinical Psychologist
NPI 1699710509
76 NORTHEASTERN BLVD STE 36A
Nashua, NH 03062
(603) 881-7554
✔ PECOSSame address
Nurse Practitioner
NPI 1417721705
76 NORTHEASTERN BLVD STE 36A
Nashua, NH 03062
(603) 881-7554
✔ PECOSSame address
Certified Clinical Nurse Specialist (CNS)
NPI 1821286949
76 NORTHEASTERN BLVD WILLOWDALE COUNSELING CENTER SUITE 36 A
Nashua, NH 03062
(603) 881-7554
✔ PECOSSame address
Mental Health Counselor
NPI 1720899081
76 NORTHEASTERN BLVD STE 36A
Nashua, NH 03062
(603) 400-2745
✔ PECOSSame address
Nurse Practitioner
NPI 1629381579
25 PELHAM RD STE 203
Salem, NH 03079
(603) 883-0005
✔ PECOS12 mi
Nurse Practitioner
NPI 1376892737
111 CHURCH ST
Laconia, NH 03246
(603) 524-1100
✔ PECOS55 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Willowdale Counseling Center, PLLC's NPI number?

The NPI number for Willowdale Counseling Center, PLLC is 1376635102. It was assigned to this organization in the NPPES registry on September 29, 2006.

Where is Willowdale Counseling Center, PLLC located?

Willowdale Counseling Center, PLLC is located at 76 Northeastern Blvd Ste 36A, Nashua, NH 03062. The listed phone number is (603) 881-7554.

What is Willowdale Counseling Center, PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Willowdale Counseling Center, PLLC enrolled in Medicare?

Yes. Willowdale Counseling Center, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Willowdale Counseling Center, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 4 Medicare specialties reassign their Medicare billing to Willowdale Counseling Center, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3), Certified Clinical Nurse Specialist (CNS) (1) and Clinical Psychologist (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Willowdale Counseling Center, PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Willowdale Counseling Center, PLLC 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 Willowdale Counseling Center, PLLC was last updated on September 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.