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MRS. KATIE BROOM M.A. CCC-SLP
NPI 1003307547
Speech-Language Pathologist in Hallettsville, TX

Active since May 21, 2018Accepts Medicare Assignment
107 S JUDY ST, HALLETTSVILLE, TX 77964(361) 210-7366(361) 799-5001 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 13, 2024, May 21, 2018 (2 updates tracked since 2018).

About Mrs. Katie Broom M.a. Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KATIE BROOM M.A. CCC-SLP (NPI 1003307547) is an individual speech-language pathologist provider in Hallettsville, Texas, licensed in Texas (114445) and active in the NPI registry since May 2018. She maintains 3 additional practice locations and is a graduate of Other (2018).

NPPES Registry Identity

NPI1003307547
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. KATIE BROOMCredential: M.A. CCC-SLP
Location Address107 S JUDY STHallettsville, TX 77964-3223
Mailing AddressPo Box 166Hallettsville, TX 77964-0166 · (361) 210-7366 · Fax (361) 799-5001
Phone(361) 210-7366
Fax(361) 799-5001
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMay 21, 2018
Last NPPES UpdateSeptember 13, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2024
✔ NPI 1003307547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in TX · 114445
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
107 S JUDY ST, Hallettsville, TX 77964
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11101 E Airline RdVictoria, TX 77901-4000 · Phone (361) 210-7366 · Fax (361) 799-5001
Location 2711 N Avenue DShiner, TX 77984-5210 · Phone (361) 210-7366 · Fax (361) 799-5001
Location 3109 Shult DrColumbus, TX 78934-3009 · Phone (361) 210-7366 · Fax (361) 799-5001

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Katie Broom M.a. Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577951417
PECOS Enrollment IDI20211027000425

Medicare Billing Reassignment

Medicare enrollment records show Katie Broom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Elite Therapy Team LLC
Same address
Speech-Language Pathologist
107 S JUDY ST
Hallettsville, TX 77964
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
NPI 1356038947 (361) 210-7366

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Treatment of speech, language, voice, communication, and/or hearing processing disorder 92507
This treatment involves working with a specialist to improve communication skills. It could involve exercises to enhance speech clarity, language understanding, voice volume, or hearing comprehension. The goal is to enhance your ability to express and understand others effectively.
109 services14 patients

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRISTAN MEISETSCHLEAGER M.S. CCC - SLP
Speech-Language Pathologist
107 S JUDY ST
HALLETTSVILLE, TX 77964
Lavaca County (361) 210-7366
MIKAELA JACOBSON
Speech-Language Pathologist
107 S JUDY ST
HALLETTSVILLE, TX 77964
Lavaca County (361) 210-7366
TEXAS ELITE THERAPY TEAM LLC
Speech-Language Pathologist
107 S JUDY ST
HALLETTSVILLE, TX 77964
Lavaca County (361) 210-7366
HAYLIE CERNOCH M.S. CCC- SLP
Speech-Language Pathologist
107 S JUDY ST
HALLETTSVILLE, TX 77964
Lavaca County (361) 210-7366
LAUREN PASAK MA CCC-SLP
Speech-Language Pathologist
107 S JUDY ST
HALLETTSVILLE, TX 77964
Lavaca County (361) 210-7366

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katie Broom's NPI number?

The NPI number for Katie Broom is 1003307547. It was assigned to this individual provider in the NPPES registry on May 21, 2018.

Where is Katie Broom located?

Katie Broom practices at 107 S Judy St, Hallettsville, TX 77964. The listed phone number is (361) 210-7366.

What is Katie Broom's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Katie Broom enrolled in Medicare?

Yes. Katie Broom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Katie Broom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katie Broom reassigns Medicare benefits to Texas Elite Therapy Team LLC (Hallettsville, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katie Broom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Katie Broom was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.