Active NPI
Johanna Lynne Broughton, LICSW LADC
- Social Worker
- Portsmouth, NH
National Provider Identifier
1982621462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 1006
- Practice address
- 30 Mirona Road Extension
Suite 3
Portsmouth, NH 03801 - Phone
- (603) 664-1010
- Fax
- (603) 766-3141
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 513 | NH | |
| Social Worker | 104100000X | 1006 | NH | Primary |
Addresses
Primary practice location
30 Mirona Road Extension
Suite 3
Portsmouth, NH 03801
Mailing address
30 Mirona Road Extension
Suite 3
Portsmouth, NH 03801
Phone (603) 436-7959
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115858 | Other | MMC PHO BHC P | |
| 30423349 | Medicaid | NH | |
| 117879 | Other | BHN |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 513 | NH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1982621462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 MIRONA ROAD EXTENSION",
"address_2": "SUITE 3",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "03801",
"telephone_number": "603-436-7959",
"fax_number": "603-766-3141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 MIRONA ROAD EXTENSION",
"address_2": "SUITE 3",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "03801",
"telephone_number": "603-664-1010",
"fax_number": "603-766-3141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROUGHTON",
"first_name": "JOHANNA",
"middle_name": "LYNNE",
"name_prefix": "Ms.",
"credential": "LICSW LADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NH",
"license": "513",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NH",
"license": "1006",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMC PHO BHC P",
"identifier": "115858",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30423349",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BHN",
"identifier": "117879",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.