Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Waterford Counseling and Psychological Services, PC

Organization Professional Counselor · NPI 1104250067

Waterford Counseling and Psychological Services, PC is a Professional Counselor in Aurora, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2013
Specialties on file
7
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1256 Waterford Dr Ste 140
Aurora, IL 60504-4510
Phone: (630) 898-5322
Fax: (630) 898-5324
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1022 Douglas Rd, Oswego, IL 60543-5133 — (630) 898-5322

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071006641 (IL)
Professional Counselor Taxonomy 101YP2500X · Licence 180008137 (IL)
Professional Counselor Taxonomy 101YP2500X · Licence 180007319 (IL)
Psychologist Taxonomy 103T00000X
Clinical Psychologist Taxonomy 103TC0700X
Clinical Social Worker Taxonomy 1041C0700X · Licence 149007223 (IL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 149007369 (IL)

Record details

NPI number1104250067
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Coleman — Clinical Psychologist · (630) 898-5322
NPI enumeratedAugust 28, 2013
Last updated in NPPESDecember 15, 2023
Certification dateDecember 15, 2023
Mailing address1256 Waterford Dr, Suite 140, Aurora, IL 60504-4510

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