TERENCE BROUSSARD-BNU
NPI 1083100655
Counselor - Mental Health in Novi, MI

Active since July 07, 2018PECOS Enrolled
2026 AUSTIN DR, NOVI, MI 48377(248) 385-3498 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 6, 2025, Jun 19, 2023, Nov 1, 2019 and 1 more (4 updates tracked since 2018).

About Terence Broussard-bnu NPPES

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

TERENCE BROUSSARD-BNU (NPI 1083100655) is an individual mental health provider in Novi, Michigan, licensed in Michigan (6401017654) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083100655
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTERENCE BROUSSARD-BNU
Location Address2026 AUSTIN DRNovi, MI 48377-1906
Mailing Address2026 Austin DrNovi, MI 48377-1906
Sole ProprietorYes
Enumeration DateJuly 7, 2018
Last NPPES UpdateJanuary 6, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2025
✔ NPI 1083100655 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 MI · 6401017654
2026 AUSTIN DR, Novi, MI 48377

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Terence Broussard-bnu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Terence Broussard-bnu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
2026 AUSTIN DR
Novi, MI 48377
  • Reassigned Medicare billing, Michigan enrollment

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

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
2026 AUSTIN DR
NOVI, MI 48377

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 Terence Broussard-bnu's NPI number?

The NPI number for Terence Broussard-bnu is 1083100655. It was assigned to this individual provider in the NPPES registry on July 7, 2018.

Where is Terence Broussard-bnu located?

Terence Broussard-bnu practices at 2026 Austin Dr, Novi, MI 48377. The listed phone number is (248) 385-3498.

What is Terence Broussard-bnu's specialty?

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

Is Terence Broussard-bnu enrolled in Medicare?

Yes. Terence Broussard-bnu is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Terence Broussard-bnu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Terence Broussard-bnu reassigns Medicare benefits to Conflict Resolution Institute (Novi, MI). 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 Terence Broussard-bnu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Terence Broussard-bnu accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Terence Broussard-bnu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Terence Broussard-bnu was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.