Community Counseling Center PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

COMMUNITY COUNSELING CENTER PLLC

Practice address

445 Grove St
Worcester, MA 01605-1225

Phone

(508) 365-5228

Fax

(508) 213-3995

NPI assigned

Sep 12, 2022

Last updated

Oct 14, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Victor Osei BoaduNPI 1598377699

Title

Manager

Phone

(508) 365-5228

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Victor O Boadu, DNP, CNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Worcester, MA
  • NPI 1598377699
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1699497131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 GROVE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016051225",
            "telephone_number": "508-365-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 GROVE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016051225",
            "telephone_number": "508-365-5228",
            "fax_number": "508-213-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY COUNSELING CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "BOADU",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "OSEI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "508-365-5228"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Commonwealth Dermatology PLLC
• Commonwealth Medicine (CWM - Vaccine Program)
• Commonwealth of Massachusetts (DDS Worcester Area Office)
• Commonwealth Periodontics
• Community Arms Home Healthcare and Behavioral Services LLC
• Community First Adult Foster Care
• Community Health Link
• Community Health Link
• Community Health Link
• Community Healthlink

• Psychiatric/Mental Health Nurse Practitioner in Worcester, MA
• Providers in Worcester, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.