Brougham Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

BROUGHAM COUNSELING LLC

Practice address

13725 Amiot Dr
Saint Louis, MO 63146-3609

Phone

(314) 325-1121

NPI assigned

Mar 12, 2021

Organization subpart

No

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

Authorized official

Name

Lisa Brougham, PHD

Title

Owner/Counselor

Phone

(314) 325-1121

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1740865559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13725 AMIOT DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463609",
            "telephone_number": "314-325-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13725 AMIOT DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463609",
            "telephone_number": "314-325-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROUGHAM COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "BROUGHAM",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "314-325-1121",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Bross, DPT
• Michael Hartwell Bross, M.D.
• Nicole Marie Brossier, MD
• Patrick Joseph Brotherton, MD
• Michael Brotske
• Austin Broughton
• Stacey E Brouk, RD, LD
• Thomas M Brounk, PSYD
• Stacy Marie Broussard, DOULA
• Katherine Brow

• Professional Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.