Keri Broome

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

9181 Issued in SC

Practice address

301 Palmetto Park Blvd
Lexington, SC 29072-7872

Phone

(803) 996-1500

NPI assigned

Sep 20, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• South Carolina Dept of Mental Health Accounting Office

  • Community/Behavioral Health Agency
  • Columbia, SC
  • NPI 1083421994
  NPD (past)

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1285285205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 SHILOH CT",
            "city": "BATESBURG",
            "state": "SC",
            "postal_code": "290068943",
            "telephone_number": "803-640-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 PALMETTO PARK BLVD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727872",
            "telephone_number": "803-996-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119A Malibu Dr",
            "address_purpose": "LOCATION",
            "city": "Batesburg",
            "state": "SC",
            "postal_code": "290062121",
            "country_code": "US",
            "telephone_number": "803-532-8414",
            "fax_number": "803-532-4570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOME",
        "first_name": "KERI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-20",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "9181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph T Broadway, RPH
• Lauren Broderick
• Juli Ann Brooks, R.D.H.
• Holly D Brookshire
• Carmella D Broome, ED.S, LPC/I, LMFT/I
• Jaime E Brown Price, MD
• Abbie Williams Brown, PHARMD
• Alexandria Elizabeth Brown, OTD
• Amy Evelyn Brown
• Courtney Rene Brown

• Mental Health Counselor in Lexington, SC
• Providers in Lexington, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.