Robert Dean Broadhead Jr., RT, MSRLS, CTRS, TRS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

16201 Dodd St Ste 200
Volente, TX 78641-6020

Phone

(512) 553-5380

Fax

(512) 553-5380

NPI assigned

Jul 19, 2019

Last updated

Feb 5, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Inclusion Therapies LLC

  dba Inclusion Therapies

  • Rehabilitation Clinic/Center
  • Volente, TX
  • NPI 1801421482

  Counselor

  NPD Authorized official

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1710530639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 RANCH ROAD 620 S UNIT 341225",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787340250",
            "telephone_number": "512-553-5380",
            "fax_number": "512-532-9573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16201 DODD ST STE 200",
            "city": "VOLENTE",
            "state": "TX",
            "postal_code": "786416020",
            "telephone_number": "512-553-5380",
            "fax_number": "512-553-5380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 S Quinlan Park Rd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787326074",
            "country_code": "US",
            "telephone_number": "512-468-8774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROADHEAD",
        "first_name": "ROBERT",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RT, MSRLS, CTRS, TRS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-19",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "1463",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "TX",
            "license": "1463",
            "primary": false
        },
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": null,
            "license": "82138",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marzi Asadifar, M.D.
• Christine Calvert, LCDC
• Ashley Klein Dimeola, D.O.
• Inclusion Therapies LLC (Inclusion Therapies)
• Kimberly Kathryn Kinsella, RN
• Donna Kaufman Monthei, RDN, LD

• Mental Health Counselor in Volente, TX
• Providers in Volente, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.