Lisa L. Broadrup, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LISA L. BROADRUP, LLC

Practice address

105 John Robert Thomas Dr
Exton, PA 19341-2652

Phone

(484) 437-8386

NPI assigned

Apr 9, 2021

Organization subpart

No

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

Authorized official

Name

Lisa L Broadrup, LPCNPI 1902045693

Title

Owner/Sole Practitioner

Phone

(484) 437-8386

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Larkin Broadrup, M.S., LPC

  • Professional Counselor
  • Exton, PA
  • NPI 1902045693
  NPD Authorized official

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1881274496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 JOHN ROBERT THOMAS DR",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412652",
            "telephone_number": "484-437-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 JOHN ROBERT THOMAS DR",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412652",
            "telephone_number": "484-437-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA L. BROADRUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "BROADRUP",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/SOLE PRACTITIONER",
        "authorized_official_telephone_number": "484-437-8386",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Athena Jeanette Linton
• Lionville Chiropractic, P.C.
• Lionville Dental Associates, LLC
• Lionville Family Practice LLC
• Joseph Martin Lipiarski, LCSW
• Sierra Lisetski
• Kara Little
• Liu Dermatology
• Hannah Yaqian Liu, M.D.
• Tak Yan Liu

• Mental Health Clinic/Center (Including Community Mental Health Center) in Exton, PA
• Providers in Exton, PA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Pennsylvania

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