Active NPI
Sarah Margaret Broom, PHD
- Counseling Psychologist
- Collinsville, IL
National Provider Identifier
1376496984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 20043887B
- Practice address
- 1319 Lexington Dr
Collinsville, IL 62234-4348 - Phone
- (573) 619-3492
- NPI assigned
- Feb 16, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 20043887B | IN | Primary |
Addresses
Primary practice location
1319 Lexington Dr
Collinsville, IL 62234-4348
Mailing address
1319 Lexington Dr
Collinsville, IL 62234-4348
Phone (573) 619-3492
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20043887B | IN | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771200000000",
"number": "1376496984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1319 LEXINGTON DR",
"city": "COLLINSVILLE",
"state": "IL",
"postal_code": "622344348",
"telephone_number": "573-619-3492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1319 LEXINGTON DR",
"city": "COLLINSVILLE",
"state": "IL",
"postal_code": "622344348",
"telephone_number": "573-619-3492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOM",
"first_name": "SARAH",
"middle_name": "MARGARET",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-02-16",
"last_updated": "2026-02-16",
"certification_date": "2026-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "IN",
"license": "20043887B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Collinsville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.