Individual provider Active NPI

Sharon M Broussard, LMHC, M.ED.

  • Mental Health Counselor
  • Topsfield, MA
National Provider Identifier
1174877336
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1825 Issued in MA
Practice address
462 Boston St
Suite 7
Topsfield, MA 01983-1200
Phone
(978) 887-2448
Fax
(978) 774-9218
NPI assigned
Nov 8, 2012
Last updated
Nov 8, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1825 MA Primary

Addresses

Primary practice location

462 Boston St
Suite 7
Topsfield, MA 01983-1200

Mailing address

462 Boston St
Suite 7
Topsfield, MA 01983-1200
Phone (978) 887-2448

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 Education

State licenses

LicenseStateTypeSpecialty
1825MAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1174877336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 BOSTON ST",
            "address_2": "SUITE 7",
            "city": "TOPSFIELD",
            "state": "MA",
            "postal_code": "019831200",
            "telephone_number": "978-887-2448",
            "fax_number": "978-774-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 BOSTON ST",
            "address_2": "SUITE 7",
            "city": "TOPSFIELD",
            "state": "MA",
            "postal_code": "019831200",
            "telephone_number": "978-887-2448",
            "fax_number": "978-774-9218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUSSARD",
        "first_name": "SHARON",
        "middle_name": "M",
        "credential": "LMHC, M.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-08",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "1825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topsfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; 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.