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KATIE BROADWELL LMHC
NPI 1053925677
Counselor - Mental Health in Gloversville, NY

Active since September 01, 2020PECOS EnrolledAccepts Medicare Assignment
11-21 BROADWAY ST, GLOVERSVILLE, NY 12078(518) 725-4310 Get Directions Write a Review

NPPES record last updated: September 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Katie Broadwell Lmhc NPPES

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

KATIE BROADWELL LMHC (NPI 1053925677) is an individual mental health provider in Gloversville, New York, licensed in New York (009674) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1053925677
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATIE BROADWELLCredential: LMHC
Location Address11-21 BROADWAY STGloversville, NY 12078-3968
Mailing Address11-21 Broadway StGloversville, NY 12078-3968
Phone(518) 725-4310
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 1, 2020
NPPES CertifiedSeptember 1, 2020
✔ NPI 1053925677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 009674
11-21 BROADWAY ST, Gloversville, NY 12078
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katie Broadwell Lmhc 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 ID5193175370
PECOS Enrollment IDI20241118003380
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.

Other Providers at the Same Location NPPES 20

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

BRITTANY HENNESSEY LMHC
Counselor (Mental Health)
11-21 BROADWAY ST
GLOVERSVILLE, NY 12078
Fulton County (518) 725-4310
FAMILY COUNSELING CENTER OF FULTON COUNTY INC
Community/Behavioral Health
11-21 BROADWAY ST
GLOVERSVILLE, NY 12078
Fulton County (518) 725-4310
MR. MORGAN G FINNEGAN MSW
Social Worker
11-21 BROADWAY ST
GLOVERSVILLE, NY 12078
Fulton County (518) 725-4310
MS. ELIZABETH GATES LMSW
Social Worker
11-21 BROADWAY ST
GLOVERSVILLE, NY 12078
Fulton County (518) 725-4310
RANDEE JOY MCARDLE LCSW
Counselor (Mental Health)
11-21 BROADWAY ST
GLOVERSVILLE, NY 12078
Fulton County (518) 725-4310
BRIEANNE WILSON
Counselor (Mental Health)
11-21 BROADWAY ST
GLOVERSVILLE, NY 12078
Fulton County (518) 725-4310
ELISA YEONHEE KIM
Counselor (Mental Health)
11-21 BROADWAY ST
GLOVERSVILLE, NY 12078
Fulton County (518) 725-4310
SHELBI RAE RIPPEL PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
11-21 BROADWAY ST
GLOVERSVILLE, NY 12078
Fulton County (518) 725-4310

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 Broadwell's NPI number?

The NPI number for Katie Broadwell is 1053925677. It was assigned to this individual provider in the NPPES registry on September 1, 2020.

Where is Katie Broadwell located?

Katie Broadwell practices at 11-21 Broadway St, Gloversville, NY 12078. The listed phone number is (518) 725-4310.

What is Katie Broadwell's specialty?

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

Is Katie Broadwell enrolled in Medicare?

Yes. Katie Broadwell 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.

When was this NPI record last updated?

The NPPES record for Katie Broadwell was last updated on September 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.