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KEITH WILLETTE
NPI 1619234101
Counselor in Worcester, MA

Active since April 20, 2012Opted out of Medicare · through Nov 11, 2026
255 PARK AVE, WORCESTER, MA 01609(508) 799-0688 Get Directions Write a Review

NPPES record last updated: April 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keith Willette NPPES

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

KEITH WILLETTE (NPI 1619234101) is an individual counselor in Worcester, Massachusetts and active in the NPI registry since April 2012. He has opted out of Medicare through November 11, 2026.

NPPES Registry Identity

NPI1619234101
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameKEITH WILLETTE
Location Address255 PARK AVEWorcester, MA 01609-1953
Mailing Address255 Park AveWorcester, MA 01609-1953 · (508) 799-0688
Phone(508) 799-0688
Sole ProprietorYes
Enumeration DateApril 20, 2012
✔ NPI 1619234101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
255 PARK AVE, Worcester, MA 01609
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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

ⓘ

Opted out of Medicare

Keith Willette has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 11, 2024 through November 11, 2026.

Opt-Out Effective DateNovember 11, 2024
Opt-Out In Effect ThroughNovember 11, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS KAYLA C DALY MA, MT-BC, LMHC
Specialist
255 PARK AVE, SUITE 304
WORCESTER, MA 01609
Worcester County (508) 304-2415
OLGA ROCHE LCSW
Social Worker (Clinical)
255 PARK AVE, SUITE 300
WORCESTER, MA 01609
Worcester County (781) 871-6550
DEBORAH DUTTON LMHC
Social Worker (Clinical)
255 PARK AVE, SUITE 300
WORCESTER, MA 01609
Worcester County (781) 871-6550
JAMES C HUROWITZ MD
Internal Medicine
255 PARK AVE, SUITE 210
WORCESTER, MA 01609
Worcester County (508) 753-8800
DR. CHRISTOPHER VANKLEECK PSY.D.
Psychologist (Clinical)
255 PARK AVE
WORCESTER, MA 01609
Worcester County (508) 612-6212
MRS. TOBIE SUSAN BECKER R.D.,L.D.
Dietitian, Registered
255 PARK AVE, SUITE 210
WORCESTER, MA 01609
Worcester County (508) 754-8000
KARYN STERN DMD PC
Dentist (Endodontics)
255 PARK AVE, SUITE 303
WORCESTER, MA 01609
Worcester County (508) 755-3636
PHILIP J. CABRERA, D.D.S., F.R.C.D. (C), P.C.
Dentist (Endodontics)
255 PARK AVE, SUITE 1020
WORCESTER, MA 01609
Worcester County (508) 792-4290

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 Keith Willette's NPI number?

The NPI number for Keith Willette is 1619234101. It was assigned to this individual provider in the NPPES registry on April 20, 2012.

Where is Keith Willette located?

Keith Willette practices at 255 Park Ave, Worcester, MA 01609. The listed phone number is (508) 799-0688.

What is Keith Willette's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Keith Willette enrolled in Medicare?

No. Keith Willette has opted out of Medicare through November 11, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Keith Willette accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Keith Willette 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 Keith Willette was last updated on April 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.