MS. KELLEY J. BROADAWAY


Address: 5225 N Lamar Blvd, Austin, TX 78751-1820
Phone: 5124835811

MS. KELLEY J. BROADAWAY (NPI# 1164509642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164509642
Entity Type Individual
Full Name MS. KELLEY J. BROADAWAY
Credential LPC
Practice Address 5225 N Lamar Blvd
Austin
TX 78751-1820
Mailing Address 1430 Collier St
Austin
TX 78704-2911
Practice Telephone 5124835811
Practice Fax Number 5124835828
Mailing Telephone 5124457787
Mailing Fax Number 5124404059
Enumeration Date 2006-11-01
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
11975 TX Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX BCBS (TEXAS) 80886L 01

Office Location

Street Address 5225 N LAMAR BLVD
City AUSTIN
State TX
Zip Code 78751-1820

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487271995 David Eliud Escobedo Registered Nurse 5225 N Lamar Blvd, Austin, TX 78751-1820 2020-06-30
1851947154 Dana Ann Bocock Registered Nurse 5225 N Lamar Blvd, Austin, TX 78751-1820 2019-08-13
1164928966 Maria Edith Mondragon Registered Nurse 5225 N Lamar Blvd, Austin, TX 78751-1820 2018-04-02
1679084230 Isabel Samella Hsu Dietitian, Registered 5225 N Lamar Blvd, Austin, TX 78751-1820 2017-10-22
1427587898 Rachel Pearl Tocker Psychologist 5225 N Lamar Blvd, Austin, TX 78751-1820 2017-06-08
1174823975 Doris A. Story Registered Nurse 5225 N Lamar Blvd, Austin, TX 78751-1820 2010-10-26
1285947333 Jana Jones Rundle Counselor 5225 N Lamar Blvd, Austin, TX 78751-1820 2010-07-19
1679894935 Olivia Townsend Social Worker 5225 N Lamar Blvd, Austin, TX 78751-1820 2010-06-21
1659693018 Yolanda K. Seay Registered Nurse 5225 N Lamar Blvd, Austin, TX 78751-1820 2010-02-25
1225369663 Patricia A. Svetlik Registered Nurse 5225 N Lamar Blvd, Austin, TX 78751-1820 2010-01-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235657867 Joy Miller Social Worker 4920 N Ih 35 Suite 110, Austin, TX 78751 2017-09-04
1053859306 Metabolic Therapy Inc. Pharmacy 4103 Avenue D, Austin, TX 78751 2017-02-07
1316390438 Hillary Guest Speech-Language Pathologist 5406 Middle Fiskville Rd Apt 410, Austin, TX 78751 2016-07-14
1891151866 Simonek Vision, Pllc Optometrist 1000 E. 41st Street, Suite 120, Austin, TX 78751 2016-01-06
1750771911 Angela Ziskis Psychologist 4110 Gualdalupe Street, Building 794, Specialty Services, Austin, TX 78751 2015-01-27
1750783841 Lizette Araujo Psychologist 5225 North Lamar Blvd., Austin, TX 78751 2014-09-19
1013323724 Matrix Therapy, LLC Clinic/Center 5204 Avenue F, Austin, TX 78751 2014-07-02
1215281738 Elizabeth Ann White Clinical Nurse Specialist 818 East 53rd Street, Austin, TX 78751 2012-11-06
1619259934 Samir K Momin Dentist 1000 E 41st Street, Suite 230, Austin, TX 78751 2011-09-13
1467740753 Gary G. Plakias Technician, Other 5400 N Lamar Blvd, 206b, Austin, TX 78751 2011-07-20
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457951675 Caitlin R Battell Counselor 12805 Hughes St, Austin, TX 78732-1833 2020-10-27
1316546187 Cathi Heare Counselor 1502 Ranch Road 620, Austin, TX 78734-7873 2020-10-22
1104425214 Paul Lewis Duffy Counselor Counseling Services, 1625 Rutherford Ln., Austin, TX 78754 2020-10-20
1366040958 Grace Wood Counselor 1621 E 6th St Apt 2212, Austin, TX 78702-3327 2020-10-15
1871191379 Alexis Losch Counselor 13740 Research Blvd Ste L5, Austin, TX 78750-1833 2020-10-15
1518573880 Brenda Lee Rodriguez Counselor 11001 S 1st St Apt 225, Austin, TX 78748-6765 2020-09-21
1174139794 Julie Jackson Counselor 8208 Farmington Ct, Austin, TX 78736-1744 2020-09-18
1780290494 Britney Juliane Watson Counselor 10701 S Interstate 35 Apt 113, Austin, TX 78747-1777 2020-09-17
1154936235 David Barrett Counselor 2525 Wallingwood Dr Ste 216, Austin, TX 78746-6900 2020-09-15
1669084943 Lutheran Social Services of The South, Inc. Counselor 10601 Derecho Drive, Austin, TX 78737-1013 2020-08-19
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Competitor

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City AUSTIN
Zip Code 78751

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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