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MR. JOHN ROBERT BROUSSARD
NPI 1013271196
Counselor - Mental Health in Placerville, CA

Active since July 03, 2012
2711 EDGEWOOD DR, PLACERVILLE, CA 95667(530) 306-1816 Get Directions Write a Review

NPPES record last updated: July 3, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. John Robert Broussard NPPES

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

MR. JOHN ROBERT BROUSSARD (NPI 1013271196) is an individual mental health provider in Placerville, California and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1013271196
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JOHN ROBERT BROUSSARD
Location Address2711 EDGEWOOD DRPlacerville, CA 95667-3409
Mailing Address2711 Edgewood DrPlacerville, CA 95667-3409 · (530) 306-1816
Phone(530) 306-1816
Sole ProprietorYes
Enumeration DateJuly 3, 2012
✔ NPI 1013271196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2711 EDGEWOOD DR, Placerville, CA 95667
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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 John Broussard's NPI number?

The NPI number for John Broussard is 1013271196. It was assigned to this individual provider in the NPPES registry on July 3, 2012.

Where is John Broussard located?

John Broussard practices at 2711 Edgewood Dr, Placerville, CA 95667. The listed phone number is (530) 306-1816.

What is John Broussard's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for John Broussard was last updated on July 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.