MRS. ASHLEY PATRICE BROUSSARD (NPI# 1376078246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376078246 |
| Entity Type | Individual |
| Full Name | MRS. ASHLEY PATRICE BROUSSARD |
| Practice Address |
1723 Kresky Ave Centralia WA 98531-8985 |
| Practice Telephone | 3605596201 |
| Mailing Telephone | 3605596201 |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2019-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | CG 60714499 | WA | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
4155 | AK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609188903 | Ashley Broussard | Anesthesiology | 900 23rd St Nw, Washington, DC 20037-2342 | 2010-07-02 |
| Street Address |
1723 KRESKY AVE |
| City | CENTRALIA |
| State | WA |
| Zip Code | 98531-8985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700359411 | Tonja Evonne Vernon | Counselor | 1723 Kresky Ave, Centralia, WA 98531-8985 | 2019-01-04 |
| 1215400155 | Lora Lee Mattox | Peer Specialist | 1723 Kresky Ave, Centralia, WA 98531-8985 | 2019-01-03 |
| 1114490166 | Michelle Griffin | Spec/Tech, Health Info | 1723 Kresky Ave, Centralia, WA 98531-8985 | 2019-01-02 |
| 1730652710 | Cyndi Labrec | Counselor | 1723 Kresky Ave, Centralia, WA 98531-8985 | 2019-01-02 |
| 1720578487 | American Behavioral Health Systems, Inc. | Community/Behavioral Health | 1723 Kresky Ave, Centralia, WA 98531-8985 | 2018-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306462205 | Jelisa Renae Thomas | Counselor | 3510 Steelhammer Ln, Centralia, WA 98531 | 2020-06-17 |
| 1205498607 | Jennifer Kristine Mcglynn Paterno | Counselor | 2428 W. Reynods Ave, Centralia, WA 98531 | 2019-07-05 |
| 1538646328 | Adam Jeffrey Moore | Counselor | 3510 Steelhammer Lane, Centralia, WA 98531 | 2018-07-24 |
| 1144706698 | Euijeong Kim | Occupational Therapist | Rehabilitation Therapies, 914 S. Scheuber Rd, Centralia, WA 98531 | 2018-07-18 |
| 1104315266 | Margaret Fowler Floyd | Registered Nurse | Centralia High School, 813 Eshom Road, Centralia, WA 98531 | 2018-05-04 |
| 1124545777 | Samantha Michelle Moody | Speech-Language Pathologist | Centralia School District, 2320 Borst Ave, Centralia, WA 98531 | 2017-08-24 |
| 1821520289 | Alexa Franks | Behavior Technician | 2428 West Reynolds Ave., Centralia, WA 98531 | 2017-04-03 |
| 1023559861 | Brandy Michelle Peterson | Counselor | 135 W. Main Steet, Centralia, WA 98531 | 2017-03-13 |
| 1841738812 | Graceful Healing Naturopathic | Naturopath | 219 N Tower Ave, Suite 304, Centralia, WA 98531 | 2017-02-09 |
| 1043681513 | Angela Naillon | Counselor | 2428 West Reynolds, Centralia, WA 98531 | 2015-10-09 |
| Find all providers in zip 98531 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477113041 | Cortney Nicole Jensen | Counselor | 1611 Kresky Ave Ste 114, Centralia, WA 98531-8982 | 2019-06-17 |
| 1831629476 | Chad Eric Holmes | Counselor | 1616 S. Gold St. #4, Centralia, WA 98531-0001 | 2017-06-15 |
| 1023559861 | Brandy Michelle Peterson | Counselor | 135 W. Main Steet, Centralia, WA 98531 | 2017-03-13 |
| 1932447745 | Amanda Winchell | Counselor | 904 Mlk Dr, Centralia, IL 62801 | 2013-01-29 |
| 1508098930 | Jessica Lynn Stickley | Counselor | 1641 Kresky Ave, Centralia, WA 98531 | 2009-08-18 |
| 1003037557 | Travis Merrell Trone I | Counselor | 628 Tracy Ter, Centralia, IL 62801-4478 | 2007-05-01 |
| 1710539747 | Esther V Lloyd | Counselor | 1611 Kresky Ave Ste 114, Centralia, WA 98531 | 2019-07-10 |
| 1700359411 | Tonja Evonne Vernon | Counselor | 1723 Kresky Ave, Centralia, WA 98531-8985 | 2019-01-04 |
| 1225515844 | Ann Marie Shoddy | Counselor | 1616 S Gold St Ste 4, Centralia, WA 98531-8930 | 2018-07-26 |
| 1639656275 | Antoinette Kathleen Smith | Counselor | 1616 S Gold St Ste 4, Centralia, WA 98531-8930 | 2018-07-26 |
| Find all providers in CENTRALIA | ||||
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| 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.