Marcellus E Broomes, Ms, LAC, LCADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

37LC00206800 Issued in NJ

Practice address

370 Memorial Parkway
Family Guidance Center of Warren County
Phillipsburg, NJ 08865-1580

Phone

(908) 454-4470

Fax

(908) 454-5317

NPI assigned

Apr 14, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mr. Marcellus Broomes Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Eac Counseling

  • Mental Health Counselor
  • Phillipsburg, NJ
  • NPI 1205583366
  NPD

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492128000000",
    "number": "1477087633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "492 ROUTE 57 WEST",
            "address_2": "FAMILY GUIDANCE CENTER OF WARREN COUNTY",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078824411",
            "telephone_number": "908-689-1000",
            "fax_number": "908-689-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 MEMORIAL PARKWAY",
            "address_2": "FAMILY GUIDANCE CENTER OF WARREN COUNTY",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651580",
            "telephone_number": "908-454-4470",
            "fax_number": "908-454-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOMES, MS",
        "first_name": "MARCELLUS",
        "middle_name": "E",
        "credential": "LAC, LCADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-14",
        "last_updated": "2017-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37AC00232200",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00206800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCELLUS",
            "last_name": "BROOMES",
            "prefix": "MR.",
            "credential": "LAC, LCADC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Loretta Brickman, R.PH.
• Stephen Allen Brickman, REGISTERED PHARMACIS
• Duane David Brida, ATC
• Bridges Supports Coordination, LLC
• Yasmine Bronson
• Katelyn Michele Brown-McGee
• John M Brown, MD
• Nicole M. Brown
• Tamara Brown, DMD
• Raymond S Buch, M.D.

• Addiction (Substance Use Disorder) Counselor in Phillipsburg, NJ
• Providers in Phillipsburg, NJ by specialty
• Addiction (Substance Use Disorder) Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; 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.