Katharine Ann Broberg, MSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1014 Walla Walla Ave
Wenatchee, WA 98801-1523

Phone

(509) 663-0034

Fax

(509) 663-3726

NPI assigned

Dec 19, 2012

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Children'S Home Society

  • Adolescent and Children Mental Health Clinic/Center
  • Wenatchee, WA
  • NPI 1376056796
  NPD (past)
• Children'S Home Society of Washington

  • Community/Behavioral Health Agency
  • Wenatchee, WA
  • NPI 1174601611
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 19, 2012.

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1275879249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 WALLA WALLA AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988011523",
            "telephone_number": "509-663-0034",
            "fax_number": "509-663-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 WALLA WALLA AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988011523",
            "telephone_number": "509-663-0034",
            "fax_number": "509-663-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROBERG",
        "first_name": "KATHARINE",
        "middle_name": "ANN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-19",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles R Bricker, MD
• Aynsley Noel Briggs, CNM, ARNP
• Jonathan W Briggs, M.D.
• Naomi Felisa Briones, MD
• James Michael Britt, MD
• Mark A. Broberg, M.D.
• Jennifer Lynn Brooks, SUDP
• Shelbi Brough, RPD
• Rocky C Browder, MD
• Brown & Cole Stores LLC

• All providers in Wenatchee, WA
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.