Doreian M Broaden, LPMHP, LPMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPMHP-13296 Issued in NE

Practice address

7215 Ontario St
Omaha, NE 68124-3574

Phone

(531) 999-7120

NPI assigned

Mar 30, 2023

Last updated

Mar 30, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northpoint Nebraska LLC

  • Substance Abuse Rehabilitation Facility
  • Omaha, NE
  • NPI 1023692159
  NPD

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1669176871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 S TOPAZ WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836424474",
            "telephone_number": "208-605-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 ONTARIO ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243574",
            "telephone_number": "531-999-7120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9623 M St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681272007",
            "country_code": "US",
            "telephone_number": "531-999-6004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8710 Frederick St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681243061",
            "country_code": "US",
            "telephone_number": "531-201-6890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROADEN",
        "first_name": "DOREIAN",
        "middle_name": "M",
        "credential": "LPMHP, LPMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "LPMHP-13296",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "LPMSW-7823",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Martinez Dba Tree of Life Counseling
• Brittany Mrsny LLC
• Elizabeth Brittenham, PLMHP
• Nicholas Britton
• Allie Broaddus
• David Broadway
• Lataija Broadway
• Lateya Broadway
• Taleya Broadway
• Tariyona Ranisha Broadway

• Mental Health Counselor in Omaha, NE
• Providers in Omaha, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.