Beth Lauren Broodo

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

5402 Arapaho Rd
Dallas, TX 75248-6905

Phone

(972) 437-9950

Fax

(972) 437-1988

NPI assigned

Dec 15, 2006

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

Other identifiers 1

Other names 1

• Beth Lauren Morrison Former name

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

Specialty

Mental Health Counselor

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jewish Family Service of Dallas, IncGroup PAC ID 3274504808, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: beth.broodo.1@27034.direct.athenahealth.com

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.

• Jewish Family Service of Dallas, Inc

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1982611000
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1407918436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 ARAPAHO RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752486905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 ARAPAHO RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752486905",
            "telephone_number": "972-437-9950",
            "fax_number": "972-437-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROODO",
        "first_name": "BETH",
        "middle_name": "LAUREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "62388",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "MORRISON",
            "middle_name": "LAUREN",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Dies Brollier, M.D.
• Christina Marie Bromhall
• Emily Bromm, PA-C
• Faith Bronaugh
• Philip F Bronowitz, M.D.
• Joel W Brook, D.P.M.
• Matthew Gordon Brooker, DO
• Monica Brookhart, LPC-I
• Olivia Brookins
• Brooks Home Care Services Inc

• Professional Counselor in Dallas, TX
• Providers in Dallas, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.