Jared Morgan Broussard, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

73286 Issued in TX

Practice address

13602 Jarvis Rd
Cypress, TX 77429-3802

Phone

(832) 303-0345

NPI assigned

Sep 20, 2016

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1326596289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16835 AMELIA ISLAND DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774333492",
            "telephone_number": "281-782-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13602 JARVIS RD",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774293802",
            "telephone_number": "832-303-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUSSARD",
        "first_name": "JARED",
        "middle_name": "MORGAN",
        "name_prefix": "Mr.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-20",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "73286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kody R. Brooks, AU.D. CCC/A
• Mackenzie Brooks
• Katie Brou, HS-BCP
• Averil Broussard-Sylve
• Heidi L Broussard, MSH, RD, LD
• Brittany Renae Brown, RN
• Cynthia Denise Brown, LCSW, LCDC
• Gina Brown
• Kiashia Brown, LCDC-I
• Ryan Scott Brown, DO

• Mental Health Counselor in Cypress, TX
• Providers in Cypress, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.