Individual provider Active NPI

Robert Christopher Broyles, MS, LPC-S, LCPC

  • Professional Counselor
  • Denton, TX
National Provider Identifier
1083097398
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
71875 Issued in TX
Practice address
207 W Hickory St Ste 203
Denton, TX 76201-4149
Phone
(214) 326-0737
Fax
(214) 326-0737
NPI assigned
Jul 6, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CC6582 ME
Professional Counselor 101YP2500X 71875 TX Primary

Addresses

Primary practice location

207 W Hickory St Ste 203
Denton, TX 76201-4149

Mailing address

207 W Hickory St Ste 203
Denton, TX 76201-4149
Phone (214) 326-0737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
CC6582MEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Therapride, PLLC Professional CurrentSince Mar 1, 2023 Accepting new patients

Locations

12200 Ford Rd
Ste A422
Dallas, TX 75234

207 W Hickory St
Ste 203
Denton, TX 76201
Phone (214) 326-0737

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1083097398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W HICKORY ST STE 203",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762014149",
            "telephone_number": "214-326-0737",
            "fax_number": "214-326-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W HICKORY ST STE 203",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762014149",
            "telephone_number": "214-326-0737",
            "fax_number": "214-326-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROYLES",
        "first_name": "ROBERT",
        "middle_name": "CHRISTOPHER",
        "credential": "MS, LPC-S, LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-06",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC6582",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "71875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.