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Waterford Counseling and Psychological Services, PC

Clinical Psychologist in Aurora, IL · enumerated 2013 · authorized official Gary Coleman, Clinical Psychologist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104250067

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Registry record

Entity type Organization (Type 2)
Legal business name Waterford Counseling and Psychological Services, PC
Practice address 1256 Waterford Dr, Suite 140, Aurora, IL, 60504
Fax (630) 898-5324
Enumeration date Aug 28, 2013
Last updated in NPPES Dec 15, 2023

Taxonomy & classification

101YP2500X Professional Counselor Behavioral Health & Social Service Providers · License 180008137 (IL) Secondary
101YP2500X Professional Counselor Behavioral Health & Social Service Providers · License 180007319 (IL) Secondary
103T00000X Psychologist Behavioral Health & Social Service Providers Secondary
103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License 071006641 (IL) Primary
103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 149007223 (IL) Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 149007369 (IL) Secondary

Authorized official

Name Gary Coleman
Title Clinical Psychologist

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Waterford Counseling and Psychological Services, PC?
Waterford Counseling and Psychological Services, PC is registered in NPPES as a Clinical Psychologist (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-12-15.