MR. JOSEPH EDWARD BROOME MA, LMHC, CMHS, EMHS
NPI 1114150307
Counselor - Mental Health in Renton, WA

Active since September 03, 2009Opted out of Medicare · through Sep 26, 2026
306 WELLS AVE S UNIT A, RENTON, WA 98057(206) 295-0624(888) 274-5277 Get Directions Write a Review

NPPES record last updated: June 4, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Joseph Edward Broome Ma, Lmhc, Cmhs, Emhs NPPES

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

MR. JOSEPH EDWARD BROOME MA, LMHC, CMHS, EMHS (NPI 1114150307) is an individual mental health provider in Renton, Washington, licensed in Washington (LH 60200686) and active in the NPI registry since September 2009. He has opted out of Medicare through September 26, 2026 and maintains a secondary practice location in Renton.

NPPES Registry Identity

NPI1114150307
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JOSEPH EDWARD BROOMECredential: MA, LMHC, CMHS, EMHS
Location Address306 WELLS AVE S UNIT ARenton, WA 98057
Mailing Address306 Wells Ave S Unit ARenton, WA 98057-2786 · (206) 295-0624 · Fax (888) 274-5277
Fax(888) 274-5277
Sole ProprietorNo
Enumeration DateSeptember 3, 2009
Last NPPES UpdateJune 4, 2019
NPI 1114150307 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 WA · LH 60200686
306 WELLS AVE S UNIT A, Renton, WA 98057

Secondary Practice Location 1

Location 1310 Wells Ave S, Ste. 306DRenton, WA 98057-2714 · Phone (206) 295-0624 · Fax (888) 274-5277

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mr. Joseph Edward Broome Ma, Lmhc, Cmhs, Emhs has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 26, 2024 through September 26, 2026.

Opt-Out Effective DateSeptember 26, 2024
Opt-Out In Effect ThroughSeptember 26, 2026Opt-out affidavits renew automatically every two years unless cancelled

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.

Counselor
306 WELLS AVE S UNIT A
RENTON, WA 98057
Counselor (Mental Health)
306 WELLS AVE S UNIT A
RENTON, WA 98057

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 Joseph Broome's NPI number?

The NPI number for Joseph Broome is 1114150307. It was assigned to this individual provider in the NPPES registry on September 3, 2009.

Where is Joseph Broome located?

Joseph Broome practices at 306 Wells Ave S Unit A, Renton, WA 98057. The listed phone number is (206) 295-0624.

What is Joseph Broome's specialty?

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

Is Joseph Broome enrolled in Medicare?

No. Joseph Broome has opted out of Medicare through September 26, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Joseph Broome accept?

Health plans from PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Joseph Broome 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 Joseph Broome was last updated on June 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.