Beth M Broom, LLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

BETH M BROOM, LLC

Doing business as

Pecan Creek Counseling Services

Practice address

4717 Redbud Dr
Denton, TX 76208-6845

Phone

(214) 288-3379

NPI assigned

Oct 3, 2024

Last updated

Oct 3, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

BETH M BROOM, LLCAs reported in NPPES

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

Authorized official

Name

Beth Marie Broom, LPC-SNPI 1720753312

Title

Clinical Director

Phone

(214) 288-3379

Specialties & licenses 1

Addresses

Other names 1

• Pecan Creek Counseling Services Doing business as

Part of

Beth M Broom LLC

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.

• Beth Marie Broom, LPC-S

  • Professional Counselor
  • Denton, TX
  • NPI 1720753312
  NPD Authorized official

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1134948508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4717 REDBUD DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762086845",
            "telephone_number": "214-288-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4717 REDBUD DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762086845",
            "telephone_number": "214-288-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH M BROOM, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BETH M BROOM, LLC",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "BROOM",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "214-288-3379",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pecan Creek Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jon F Bergstrom, MD
• Brenda J. Berry
• Cynthia Bershell
• Carly Elizabeth Berterman, LPC
• Patricia Berube, D.M.D., M.S.
• Better Now Counseling, PLLC
• Bewley Psychological Services, PLLC
• Bewley Psychological Services, PLLC
• Marshall Bewley, PH.D.
• Jaspaul Singh Bhangoo, M.D.

• Counseling Psychologist in Denton, TX
• Providers in Denton, TX by specialty
• Counseling Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.