Organization Active NPI

Broad Reach Counseling, LLC

  • Mental Health Counselor
  • Prosperity, SC
National Provider Identifier
1245138254
Registry record updated Oct 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BROAD REACH COUNSELING, LLC
Practice address
4137 SC Highway 391
Prosperity, SC 29127-8364
Phone
(717) 418-1034
NPI assigned
Oct 29, 2026
Last updated
Oct 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2026

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

Authorized official

Name
Jeanette M Cunningham, BSL, LPCNPI 1235712688
Title
Clinical Director - Owner
Phone
(717) 418-1034

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4137 SC Highway 391
Prosperity, SC 29127-8364

Mailing address

4137 SC Highway 391
Prosperity, SC 29127-8364
Phone (717) 418-1034

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1793232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793232000000",
    "number": "1245138254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4137 SC HIGHWAY 391",
            "city": "PROSPERITY",
            "state": "SC",
            "postal_code": "291278364",
            "telephone_number": "717-418-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4137 SC HIGHWAY 391",
            "city": "PROSPERITY",
            "state": "SC",
            "postal_code": "291278364",
            "telephone_number": "717-418-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROAD REACH COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-29",
        "last_updated": "2026-10-29",
        "certification_date": "2026-10-29",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR - OWNER",
        "authorized_official_telephone_number": "717-418-1034",
        "authorized_official_credential": "BSL, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosperity, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2026; 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.