Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Thomas Burton Willingham, MDIV

Individual provider Mental Health Counselor · NPI 1992913370

Mr. Thomas Burton Willingham, MDIV is a Mental Health Counselor in Park Ridge, New Jersey. Practices as a sole proprietor. Licensed in New Jersey and New York.

Licensed in
NJ, NY
In the registry since
2007
Specialties on file
2

Practice location Address checks out

131 Pascack Rd
Park Ridge, NJ 07656-1124
Phone: (201) 391-1935
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 37PC00193400 (NJ)
Mental Health Counselor Taxonomy 101YM0800X · Licence LMHC002492 (NY)

Record details

NPI number1992913370
Entity typeIndividual (Type 1)
GenderMale
Credentials MDIV
Sole proprietorYes
NPI enumeratedMay 18, 2007
Last updated in NPPESJuly 8, 2007

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