Organization Active NPI

Broward Therapists, PLLC

  • Marriage & Family Therapist
  • Plantation, FL
National Provider Identifier
1386101517
Registry record updated Apr 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
BROWARD THERAPISTS, PLLC
Practice address
7520 NW 5TH St Ste 203
Plantation, FL 33317-1613
Phone
(754) 837-1804
Fax
(866) 272-2040
NPI assigned
Feb 24, 2019
Last updated
Apr 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2025

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

Authorized official

Name
Justin Johansen, LMFTNPI 1932628393
Title
Authorized Member
Phone
(754) 837-1804

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

7520 NW 5TH St Ste 203
Plantation, FL 33317-1613

Mailing address

3060 El Camino Real
West Palm Beach, FL 33409-7827
Phone (754) 971-2691

Other practice location 1

4801 S University Dr Ste 2070
Davie, FL 33328-3842
Phone (754) 837-1804

Other practice location 2

8895 N Military Trl Ste 203C
West Palm Beach, FL 33410-6261
Phone (754) 837-1804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250920000673 FL Part B Supplier - Clinic/Group Practice 3870097959 Receives reassigned benefits from 1 practitioner
Practice locations: Plantation, FL

National Provider Directory

National Provider Directory

Locations

4801 S University Dr
Ste 2070
Davie, FL 33328
Phone (754) 837-1804

4900 S University Dr
Ste 207D8
Davie, FL 33328

7520 NW 5th St
Ste 203
Plantation, FL 33317
Phone (754) 837-1804

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1550966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744416000000",
    "number": "1386101517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 EL CAMINO REAL",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334097827",
            "telephone_number": "754-971-2691",
            "fax_number": "866-272-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 NW 5TH ST STE 203",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171613",
            "telephone_number": "754-837-1804",
            "fax_number": "866-272-2040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4801 S University Dr Ste 2070",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333283842",
            "country_code": "US",
            "telephone_number": "754-837-1804",
            "fax_number": "866-272-2040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8895 N Military Trl Ste 203C",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334106261",
            "country_code": "US",
            "telephone_number": "754-837-1804",
            "fax_number": "866-272-2040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BROWARD THERAPISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-24",
        "last_updated": "2025-04-12",
        "certification_date": "2025-04-12",
        "status": "A",
        "authorized_official_last_name": "JOHANSEN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "AUTHORIZED MEMBER",
        "authorized_official_telephone_number": "754-837-1804",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.