Individual provider Active NPI

Cheryl Andrea Debrosse, LMHC

  • Addiction (Substance Use Disorder) Counselor
  • Ft Lauderdale, FL
National Provider Identifier
1326678160
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
325 SW 28TH St
Ft Lauderdale, FL 33315-2612
Phone
(954) 357-4829
NPI assigned
Jan 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH20607 FL
Clinical Social Worker 1041C0700X MH20607 FL
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

325 SW 28TH St
Ft Lauderdale, FL 33315-2612

Mailing address

325 SW 28TH St
Ft Lauderdale, FL 33315-2612
Phone (954) 357-4829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Broward County CurrentSince Aug 1, 2021 Accepting new patients

Locations

325 SW 28th St
Ft Lauderdale, FL 33315
Phone (954) 357-4880

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1326678160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 SW 28TH ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333152612",
            "telephone_number": "954-357-4829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 SW 28TH ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333152612",
            "telephone_number": "954-357-4829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBROSSE",
        "first_name": "CHERYL",
        "middle_name": "ANDREA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-21",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH20607",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "MH20607",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.