Terence Broussard-Bnu

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401017654 Issued in MI

Practice address

2026 Austin Dr
Novi, MI 48377-1906

Phone

(248) 385-3498

NPI assigned

Jul 7, 2018

Last updated

Jan 6, 2025By the provider in NPPES

Sex

Male

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Conflict Resolution Institute

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Novi, MI
  • NPI 1174002018
  Medicare reassignment NPD Authorized official
• Genuine Solutions Counseling Center

  • Substance Abuse Rehabilitation Facility
  • Waterford, MI
  • NPI 1588979876

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1530921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1083100655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2026 AUSTIN DR",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483771906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2026 AUSTIN DR",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483771906",
            "telephone_number": "248-385-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUSSARD-BNU",
        "first_name": "TERENCE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-07",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401017654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Brooks
• Mariam Brooks
• Brookside Internal Medicine, P.C.
• Brookside Pediatric Therapy LLC
• Lorna Broom, NP
• Jevonda Broussard
• Nicole K Browe
• Kiara Brown-Ford
• Brittney Brown-Gray
• Trintella Brown-McClellan

• Mental Health Counselor in Novi, MI
• Providers in Novi, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.