Lisa Larkin Broadrup, M.S., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC004247 Issued in PA

Practice address

105 John Robert Thomas Dr
Exton, PA 19341-2652

Phone

(484) 437-8386

NPI assigned

Feb 19, 2009

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Lisa L. Broadrup, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Exton, PA
  • NPI 1881274496
  NPD Authorized official

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1902045693",
    "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": {
        "last_name": "BROADRUP",
        "first_name": "LISA",
        "middle_name": "LARKIN",
        "name_prefix": "Mrs.",
        "credential": "M.S., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-19",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC004247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Galinus Brazelton, MD
• Brigadoon Inc
• Casey Ann Briglia, MS.ED., LPC
• Lisa Briskin, OTR/L
• Jasmine Taylor Broadnax, BSL
• Willaim Robert Broomall, MASTERS DEGREE
• Lori Brophy
• Cheryl Brown
• Kaitlyn Brown
• Kali A. Brown, DNP, MSN, RN

• Professional Counselor in Exton, PA
• Providers in Exton, PA by specialty
• Professional Counselor 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.