Patricia S. Broussard, MS, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

203254 Issued in TX

Practice address

26411 Oak Ridge Dr
Spring, TX 77380-1964

Phone

(936) 287-3518

NPI assigned

Apr 11, 2022

Sex

Female

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1326780347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26411 OAK RIDGE DR # 9",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773801964",
            "telephone_number": "936-287-3518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26411 OAK RIDGE DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773801964",
            "telephone_number": "936-287-3518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUSSARD",
        "first_name": "PATRICIA",
        "middle_name": "S.",
        "credential": "MS, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-11",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "203254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clancy Omokhodion Bropleh
• Shada Broughton
• Crystal R Broussard, MD
• Laura Gisclair Broussard, MS, CCC-SLP
• Lindsey Broussard
• Shawn D Broussard, R.PH
• Tiffany Roshwan Broussard
• Shannice Brown-Stokes
• Britteny P Brown
• Craig Kenneth Brown, CRAIG BROWN DDS

• Marriage & Family Therapist in Spring, TX
• Providers in Spring, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.