Kalyani Glass Broderick, MS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC014468 Issued in PA

Practice address

3333 N Front St
Harrisburg, PA 17110-1436

Phone

(717) 233-1681

NPI assigned

May 18, 2017

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

Other names 1

• Kalyani Glass Former name

Medicare fee-for-service enrollment

Enrolled in PA

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Hope and Healing LLCGroup PAC ID 6305123761, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Center for Hope and Healing, LLC

  • Mental Health Counselor
  • Camp Hill, PA
  • NPI 1831543511
  Medicare reassignment Care Compare group NPD
• Jewish Family Service of Greater Harrisburg

  • Counselor
  • Harrisburg, PA
  • NPI 1447270996
  NPD
• Children'S Aid Society

  • Community/Behavioral Health Agency
  • New Oxford, PA
  • NPI 1578603825

  Professional

  NPD (past)
• Connect Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lancaster, PA
  • NPI 1982197034

  Professional

  NPD (past)
• Jewish Family Service of Greater Harrisburg

  • Specialist
  • Harrisburg, PA
  • NPI 1649454075
  NPD (past)

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1447787635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 N FRONT ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171101436",
            "telephone_number": "717-233-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 N FRONT ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171101436",
            "telephone_number": "717-233-1681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Carlisle St Ste 214",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173251823",
            "country_code": "US",
            "telephone_number": "717-224-1273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4349 Carlise Pike",
            "address_purpose": "LOCATION",
            "city": "Camp HIl",
            "state": "PA",
            "postal_code": "170114252",
            "country_code": "US",
            "telephone_number": "717-775-3380",
            "fax_number": "717-775-3382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRODERICK",
        "first_name": "KALYANI",
        "middle_name": "GLASS",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-18",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC014468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KALYANI",
            "last_name": "GLASS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa W. Brittingham, M.A. CCC/SLP
• Bre'Ana Lashae Britton-Roman
• Kyle Brockman, DO
• Dean M Brockmole, MD
• Andrea Brodbeck, MT-BC
• Susan Brodkin
• Jennifer C Brody, CRNA
• David Bronstein, DO
• Allison Brooks, DO
• Cortni JT Brooks, MD

• Professional Counselor in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.
• 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.