WILLOW BRANCH COUNSELING
NPI 1962659607
Psychologist in Muncie, IN

Active since August 25, 2008
1806 W ROYALE DR, MUNCIE, IN 47304(765) 755-0052(765) 755-0052 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Willow Branch Counseling NPPES

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

WILLOW BRANCH COUNSELING (NPI 1962659607) is a healthcare organization registered as a psychologist in Muncie, Indiana and active in the NPI registry since August 2008. The organization lists Grace Kimmerling, President, as its authorized official.

NPPES Registry Identity

NPI1962659607
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NamePSYCHOLOGICAL ASSESSMENT AND CONSULTING, PC
Location Address1806 W ROYALE DRMuncie, IN 47304-2243
Mailing Address1806 W Royale DrMuncie, IN 47304-2243 · (765) 755-0052 · Fax (765) 755-0052
Fax(765) 755-0052
Organization SubpartNo
Authorized OfficialGrace KimmerlingPresident · (765) 755-0052
Enumeration DateAugust 25, 2008
Last NPPES UpdateMarch 6, 2023
NPPES CertifiedMarch 6, 2023
✔ NPI 1962659607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in IN · 20041639A
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1806 W ROYALE DR, Muncie, IN 47304

Other Names 1

Doing Business AsWillow Branch Counseling

Other Identifiers 3

Medicaid200911770AIN
Other11646258IN · Caqh
Other000000588248IN · Anthem Bc/bs Pin

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Willow Branch Counseling is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIndianaEnrollment IDO20090109000515Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Willow Branch Counseling, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Clinical Psychologist
NPI 1457848459
1904 W ROYALE DR
Muncie, IN 47304
(765) 284-0043
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1942871306
1904 W ROYALE DR
Muncie, IN 47304
(765) 284-0043
✔ 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 Psychological Assessment And Consulting, PC's NPI number?

The NPI number for Psychological Assessment And Consulting, PC is 1962659607. It was assigned to this organization in the NPPES registry on August 25, 2008. The provider is doing business as Willow Branch Counseling.

Where is Psychological Assessment And Consulting, PC located?

Psychological Assessment And Consulting, PC is located at 1806 W Royale Dr, Muncie, IN 47304. The listed phone number is (765) 755-0052.

What is Psychological Assessment And Consulting, PC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Psychological Assessment And Consulting, PC enrolled in Medicare?

Yes. Psychological Assessment And Consulting, PC is registered in the Medicare PECOS enrollment system.

When is Psychological Assessment And Consulting, PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Psychological Assessment And Consulting, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Psychological Assessment And Consulting, PC. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Psychological Assessment And Consulting, PC accept?

Health plans from Anthem Blue Cross and Blue Shield list Psychological Assessment And Consulting, PC 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 Psychological Assessment And Consulting, PC was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.