Jia Mae-Aimee Broussard, ASW

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

555 Cole St
San Francisco, CA 94117-2800

Phone

(415) 386-9398

Fax

(415) 386-8212

NPI assigned

Feb 11, 2010

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1346572658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 COLE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941172800",
            "telephone_number": "415-386-9398",
            "fax_number": "415-386-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 COLE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941172800",
            "telephone_number": "415-386-9398",
            "fax_number": "415-386-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUSSARD",
        "first_name": "JIA",
        "middle_name": "MAE-AIMEE",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-11",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paulette Broughton
• Alexandra Broussard
• Dominique Broussard
• Imari Broussard
• Janessa Marie Broussard
• Sharon Broussard
• Trenay Broussard, CPT-I
• Timothy D Browder, M.D.
• Dennis Kyle Browe
• Roland Lawrence Brower

• Counselor in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.