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

Mrs. Willow Nicole Broaddus, LCMHC

Individual provider Mental Health Counselor · NPI 1205407970

Mrs. Willow Nicole Broaddus, LCMHC is a Mental Health Counselor in Brattleboro, Vermont. Qualified in 2017, 9 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Vermont.

Years since qualifying
9
Licensed in
VT
In the registry since
2021
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Practice location Address checks out

87 Bonnyvale Rd
Brattleboro, VT 05301-2548
Phone: (802) 565-7124
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 068.0134330 (VT)

Record details

NPI number1205407970
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHC
Sole proprietorYes
NPI enumeratedJuly 5, 2021
Last updated in NPPESMay 27, 2026
Certification dateMay 27, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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