Tammy Jo Broshious, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

060222 Issued in OH

Practice address

512 E State St
Fremont, OH 43420-4259

Phone

(419) 334-3431

Fax

(419) 334-4230

NPI assigned

Feb 2, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lutheran Social Services of Northwestern Ohio

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1376807313
  NPD (past)
• Lutheran Social Services of Northwestern Ohio

  • Clinical Social Worker
  • Toledo, OH
  • NPI 1881773687

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1013416320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 E STATE ST",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434204259",
            "telephone_number": "419-334-3431",
            "fax_number": "419-334-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 E STATE ST",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434204259",
            "telephone_number": "419-334-3431",
            "fax_number": "419-334-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSHIOUS",
        "first_name": "TAMMY",
        "middle_name": "JO",
        "credential": "CDCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "060222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trudy Louise Briggs, STNA
• Meridith Elise Brinkman, LSW
• La Trisa Briscoe
• Lance Allen Brockschmidt
• Rachel J Brooks, FNP-C
• Carrie Ann Broski, RN
• Kimberly D Brown
• Megan Brown, LSW
• Christy Anne Brudzinski, R.PH.
• Dennis Edward Brudzinski, RPH

• Addiction (Substance Use Disorder) Counselor in Fremont, OH
• Providers in Fremont, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.