Broderick Srodes

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH29289 Issued in FL

Practice address

320 W Sabal Palm PL Ste 200
Longwood, FL 32779-3621

Phone

(407) 676-4118

NPI assigned

May 29, 2026

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1780012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1275464968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 HERMITS TRL",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327012703",
            "telephone_number": "941-915-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W SABAL PALM PL STE 200",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327793621",
            "telephone_number": "407-676-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRODES",
        "first_name": "BRODERICK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-29",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH29289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Longwood, FL
• Providers in Longwood, FL by specialty
• Mental Health Counselor in Florida

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