Individual provider Active NPI

Le'Asiah Brokenbough-Hill

  • Mental Health Counselor
  • Columbia, SC
National Provider Identifier
1639965080
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3406 Fernandina Rd Apt 207
Columbia, SC 29210-5268
Phone
(848) 667-6969
NPI assigned
Apr 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

3406 Fernandina Rd Apt 207
Columbia, SC 29210-5268

Mailing address

220 Faison Dr
Columbia, SC 29203-3210
Phone (848) 667-6969

Other practice location 1

914 NW 12th St
Okeechobee, FL 34972-2042
Phone (848) 667-6696

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address leasiah.brokenbough-hill@scdmh.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1639965080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 FAISON DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292033210",
            "telephone_number": "848-667-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3406 FERNANDINA RD APT 207",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292105268",
            "telephone_number": "848-667-6969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "914 NW 12th St",
            "address_purpose": "LOCATION",
            "city": "Okeechobee",
            "state": "FL",
            "postal_code": "349722042",
            "country_code": "US",
            "telephone_number": "848-667-6696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROKENBOUGH-HILL",
        "first_name": "LE'ASIAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leasiah.brokenbough-hill@scdmh.org",
            "affiliation": "N",
            "address_1": "3406 Fernandina Rd Apt 207",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292105268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.