Active NPI
Cheryl Ann Broome, MSW
- Mental Health Counselor
- Chickasha, OK
National Provider Identifier
1184910952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 33573
- Practice address
- 198 E Almar Dr
Chickasha, OK 73018-7327 - Phone
- (405) 222-5437
- NPI assigned
- Jun 21, 2011
- Last updated
- Sep 11, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 33573 | TX | Primary |
Addresses
Primary practice location
198 E Almar Dr
Chickasha, OK 73018-7327
Mailing address
816 South 20TH Street
Chickasha, OK 73018
Phone (405) 320-5584
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33573 | TX | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315699200000",
"number": "1184910952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "816 SOUTH 20TH STREET",
"city": "CHICKASHA",
"state": "OK",
"postal_code": "73018",
"telephone_number": "405-320-5584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 E ALMAR DR",
"city": "CHICKASHA",
"state": "OK",
"postal_code": "730187327",
"telephone_number": "405-222-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOME",
"first_name": "CHERYL",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-21",
"last_updated": "2011-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "33573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chickasha, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.