Individual provider Active NPI

Mindy C Bromm, NCC, LPC

  • Mental Health Counselor
  • Simpsonville, SC
National Provider Identifier
1982034484
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
113 Fairview Pointe Dr
Simpsonville, SC 29681-3223
Phone
(864) 757-8966
Fax
(864) 757-8965
NPI assigned
Nov 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

113 Fairview Pointe Dr
Simpsonville, SC 29681-3223

Mailing address

113 Fairview Pointe Dr
Simpsonville, SC 29681-3223
Phone (864) 757-8966

Other practice location 1

20 Powderhorn Rd
Simpsonville, SC 29681-3399
Phone (864) 963-3421

Other practice location 2

20 Powderhorn Rd
Simpsonville, SC 29681-3399
Phone (864) 963-3421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office PastSince Jul 17, 2002 Accepting new patients
Frame of Mind Psychiatry, L.L.P. Mental Health Past Accepting new patients
South Carolina Dept of Mental Health Accounting Office Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1982034484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 FAIRVIEW POINTE DR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296813223",
            "telephone_number": "864-757-8966",
            "fax_number": "864-757-8965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 FAIRVIEW POINTE DR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296813223",
            "telephone_number": "864-757-8966",
            "fax_number": "864-757-8965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Powderhorn Rd",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "SC",
            "postal_code": "296813399",
            "country_code": "US",
            "telephone_number": "864-963-3421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Powderhorn Rd",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "SC",
            "postal_code": "296813399",
            "country_code": "US",
            "telephone_number": "864-963-3421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROMM",
        "first_name": "MINDY",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.