Rio Brodeur, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37AC00474200 Issued in NJ

Practice address

1930 Marlton Pike E Ste T
Cherry Hill, NJ 08003-4217

Phone

(609) 405-6787

NPI assigned

Nov 23, 2020

Last updated

Nov 17, 2022By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1891399614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 MAPLE AVE",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351113",
            "telephone_number": "609-694-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 MARLTON PIKE E STE T",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080034217",
            "telephone_number": "609-405-6787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 S Broad St Ste 3B",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "NJ",
            "postal_code": "080964609",
            "country_code": "US",
            "telephone_number": "856-693-5775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRODEUR",
        "first_name": "RIO",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37AC00474200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon R Briles, MA
• Kelsey Marie Brinckman, OT
• Erin Brining
• Latasha Britt
• Jessica Brock-Pitts
• Harris Brodsky
• John Brodt, LPC
• Lara Brody, M.A., CCC/SLP
• David T Broizman, MD
• Heather D Bronson, SLP

• Professional Counselor in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.