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COMMUNITY COUNSELING CENTER PLLC
NPI 1699497131
Nurse Practitioner - Psychiatric/Mental Health in Worcester, MA

Active since September 12, 2022
445 GROVE ST, WORCESTER, MA 01605(508) 365-5228(508) 213-3995 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 3, 2025, Nov 7, 2022, Sep 12, 2022 (3 updates tracked since 2022).

About Community Counseling Center Pllc NPPES

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

COMMUNITY COUNSELING CENTER PLLC (NPI 1699497131) is a healthcare organization registered as a psychiatric/mental health in Worcester, Massachusetts and active in the NPI registry since September 2022. The organization lists Victor Osei Boadu, Manager, as its authorized official.

NPPES Registry Identity

NPI1699497131
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameCOMMUNITY COUNSELING CENTER PLLC
Location Address445 GROVE STWorcester, MA 01605-1225
Mailing Address445 Grove StWorcester, MA 01605-1225 · (508) 365-5228
Phone(508) 365-5228
Fax(508) 213-3995
Organization SubpartNo
Authorized OfficialVictor Osei BoaduManager · (508) 365-5228
Enumeration DateSeptember 12, 2022
Last NPPES UpdateOctober 14, 20253 updates tracked since enumeration
NPPES CertifiedOctober 14, 2025
✔ NPI 1699497131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
445 GROVE ST, Worcester, MA 01605
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Community Counseling Center PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Victor Boadu, DNP, CNP, PMHNP-BC
Nurse Practitioner
NPI 1598377699
445 GROVE ST
Worcester, MA 01605
(508) 365-5228
✔ PECOS✔ Accepts MedicareSame address

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 Community Counseling Center PLLC's NPI number?

The NPI number for Community Counseling Center PLLC is 1699497131. It was assigned to this organization in the NPPES registry on September 12, 2022.

Where is Community Counseling Center PLLC located?

Community Counseling Center PLLC is located at 445 Grove St, Worcester, MA 01605. The listed phone number is (508) 365-5228.

What is Community Counseling Center PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Community Counseling Center PLLC enrolled in Medicare?

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

How many clinicians bill Medicare through Community Counseling Center PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Community 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Community Counseling Center PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Community 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 Community Counseling Center PLLC was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.