Individual provider Active NPI

Paige Faye Broughton, LPC

  • Professional Counselor
  • Jonesville, VA
National Provider Identifier
1669910519
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701013253 Issued in VA
Practice address
34084 Wilderness Rd
Jonesville, VA 24263-7899
Phone
(276) 346-3590
Fax
(276) 346-3612
NPI assigned
Feb 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701013253 VA Primary

Addresses

Primary practice location

34084 Wilderness Rd
Jonesville, VA 24263-7899

Mailing address

1167 Spratlin Park Dr
Gray, TN 37615-6205
Phone (423) 467-3600

Other practice location 1

43 Champions Ave
Big Stone Gap, VA 24219-1105
Phone (276) 523-8300

Other practice location 2

1006 US Highway 23 N
Weber City, VA 24290-7021
Phone (273) 225-0976

Other names 1

  • Paige F Cronan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20240314000733 VA Practitioner - Mental Health Counselor 9830535731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Frontier HealthGroup PAC ID 2860302320, 70 clinicians

Practice addresses (Care Compare)

1006 US Hwy 23 N
Weber City, VA 24290-7021
Phone (276) 225-0976

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Frontier Health CurrentSince Jan 31, 2024 Accepting new patients
Frontier Health CurrentSince Jan 31, 2024 Accepting new patients
Frontier Health Past Accepting new patients
Cumberland River Behavioral Health, Inc PastSince Aug 26, 2002 Accepting new patients

Locations

1167 Spratlin Park Dr
Johnson City, TN 37615
Phone (423) 232-2670

43 Champions Ave
Big Stone Gap, VA 24219
Phone (276) 523-0682

1431 Duff Patt Hwy
Duffield, VA 24244
Phone (276) 431-4370

34084 Wilderness Rd
Jonesville, VA 24263

295 Wharton Ln NE
Norton, VA 24273
Phone (276) 679-0321

1006 US Highway 23 North
Weber City, VA 24290
Phone (276) 225-0976

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1669910519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1167 SPRATLIN PARK DR",
            "city": "GRAY",
            "state": "TN",
            "postal_code": "376156205",
            "telephone_number": "423-467-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34084 WILDERNESS RD",
            "city": "JONESVILLE",
            "state": "VA",
            "postal_code": "242637899",
            "telephone_number": "276-346-3590",
            "fax_number": "276-346-3612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43 Champions Ave",
            "address_purpose": "LOCATION",
            "city": "Big Stone Gap",
            "state": "VA",
            "postal_code": "242191105",
            "country_code": "US",
            "telephone_number": "276-523-8300",
            "fax_number": "276-523-6964",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1006 US Highway 23 N",
            "address_purpose": "LOCATION",
            "city": "Weber City",
            "state": "VA",
            "postal_code": "242907021",
            "country_code": "US",
            "telephone_number": "273-225-0976",
            "fax_number": "276-225-1241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROUGHTON",
        "first_name": "PAIGE",
        "middle_name": "FAYE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-10",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701013253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAIGE",
            "last_name": "CRONAN",
            "middle_name": "F",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jonesville, VA

Sources for this page

Verify at the official NPI Registry.