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SUSAN ANN BROUSSARD M.A
NPI 1003946500
Marriage & Family Therapist in Murrieta, CA

Active since March 06, 2007PECOS EnrolledAccepts Medicare Assignment
26323 JEFFERSON AVE, E111, MURRIETA, CA 92562(619) 607-1234 Get Directions Write a Review

NPPES record last updated: March 22, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Susan Ann Broussard M.a NPPES

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

SUSAN ANN BROUSSARD M.A (NPI 1003946500) is an individual marriage & family therapist in Murrieta, California, licensed in California (49224) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1003946500
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSUSAN ANN BROUSSARDCredential: M.A
Location Address26323 JEFFERSON AVE, E111Murrieta, CA 92562-9514
Mailing Address35748 Emily AveMurrieta, CA 92563-7404 · (619) 453-9915
Phone(619) 607-1234
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateMarch 6, 2007
Last NPPES UpdateMarch 22, 2016
✔ NPI 1003946500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 49224
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
26323 JEFFERSON AVE, Murrieta, CA 92562
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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

Susan Ann Broussard M.a 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 ID7416308366
PECOS Enrollment IDI20240125004195
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

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

Broussard Marriage & Family Therapy Inc
1.2 mi
Marriage & Family Therapist
41661 ENTERPRISE CIR N STE 111
Temecula, CA 92590
  • Reassigned Medicare billing, California enrollment
NPI 1285384636 (619) 607-1234

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

Other Providers at the Same Location NPPES 2

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

THE NEW YOU ACADEMY, LLC
Community/Behavioral Health
26323 JEFFERSON AVE, SUITE E106
MURRIETA, CA 92562
Riverside County (951) 297-3525
TALNA HOSPICE CARE
Hospice Care, Community Based
26323 JEFFERSON AVE, SUITE D
MURRIETA, CA 92562
Riverside County (951) 677-5300

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 Susan Broussard's NPI number?

The NPI number for Susan Broussard is 1003946500. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Susan Broussard located?

Susan Broussard practices at 26323 Jefferson Ave E111, Murrieta, CA 92562. The listed phone number is (619) 607-1234.

What is Susan Broussard's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Susan Broussard enrolled in Medicare?

Yes. Susan Broussard 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 Susan Broussard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Broussard reassigns Medicare benefits to Broussard Marriage & Family Therapy Inc (Temecula, CA). 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 Susan Broussard'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 Susan Broussard was last updated on March 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.