Theresa Broo Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

THERESA BROO COUNSELING, LLC

Practice address

525 Lacey Rd Ste E
Forked River, NJ 08731-1543

Phone

(609) 276-8626

NPI assigned

Oct 17, 2025

Organization subpart

No

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

Authorized official

Name

Theresa Broo, LPCNPI 1528253382

Title

Licensed Professional Counselor

Phone

(609) 276-8626

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theresa L. Broo, LPC

  • Professional Counselor
  • Forked River, NJ
  • NPI 1528253382

  NJ, Professional

  Medicare reassignment NPD Authorized official
• Kristin Yakovchuk, LPC, ACS

  • Professional Counselor
  • Toms River, NJ
  • NPI 1265310239

  Professional

  NPD (past)

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

{
    "created_epoch": "1760659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1629945407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 LACEY RD STE E",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311543",
            "telephone_number": "609-276-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 LACEY RD STE E",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311543",
            "telephone_number": "609-276-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA BROO COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-17",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "BROO",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "609-276-8626",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Forked River, NJ
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.