MRS. JENNIE TARA BROADHURST BA DEGREE
NPI 1114186996
Case Manager/Care Coordinator in Thousand Oaks, CA

Q: What is Jennie Broadhurst's NPI number?

The NPI number for Jennie Broadhurst is 1114186996. It was assigned to this individual provider in the NPPES registry on June 5, 2008.

Q: What is Jennie Broadhurst's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennie Broadhurst was last updated on June 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since June 05, 2008

72 MOODY CT, THOUSAND OAKS, CA 91360(805) 587-5328 Get Directions Write a Review

NPPES record last updated: June 5, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Jennie Tara Broadhurst Ba Degree NPPES

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

MRS. JENNIE TARA BROADHURST BA DEGREE (NPI 1114186996) is an individual case manager/care coordinator provider in Thousand Oaks, California and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1114186996

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameMRS. JENNIE TARA BROADHURSTCredential: BA DEGREE

Location Address72 MOODY CTThousand Oaks, CA 91360-6067

Mailing Address72 Moody Ct, County Of Ventura Conejo Valley Mental HealthSimi Valley, CA 91360 · (805) 587-5328

Phone(805) 587-5328

Sole ProprietorYes

Enumeration DateJune 5, 2008

✔ NPI 1114186996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

72 MOODY CT, Thousand Oaks, CA 91360

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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.

KELLIE GUGLIELMELLI M.A.

Case Manager/Care Coordinator

72 MOODY CT
THOUSAND OAKS, CA 91360

Ventura County (805) 777-3523

MR. EDDIE LARON COURTNEY

Counselor (Mental Health)

72 MOODY CT
THOUSAND OAKS, CA 91360

Ventura County (805) 777-3523

MELISSA NITSCH

Counselor

72 MOODY CT
THOUSAND OAKS, CA 91360

Ventura County (805) 777-3523

MR. ROBERT SOLIZ M.S.W.

Case Manager/Care Coordinator

72 MOODY CT, SUITE 101
THOUSAND OAKS, CA 91360

Ventura County (805) 777-3500

MRS. JUDITH C GERGIS RN

Registered Nurse (Psychiatric/Mental Health, Adult)

72 MOODY CT, SUITE 102
THOUSAND OAKS, CA 91360

Ventura County (805) 777-3500

ANDREA ILENE BERGHOLTZ MSN, RN, CHPN

Registered Nurse (Home Health)

72 MOODY CT
THOUSAND OAKS, CA 91360

Ventura County (805) 371-9988

CYNTHIA CHRISTENSON LCSW

Social Worker (Clinical)

72 MOODY CT, SUITE 101
THOUSAND OAKS, CA 91360

Ventura County (805) 777-3500

MISS MELISSA BARNES MSW

Social Worker

72 MOODY CT
THOUSAND OAKS, CA 91360

Ventura County (858) 777-3516

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 Jennie Broadhurst's NPI number?

The NPI number for Jennie Broadhurst is 1114186996. It was assigned to this individual provider in the NPPES registry on June 5, 2008.

Where is Jennie Broadhurst located?

Jennie Broadhurst practices at 72 Moody Ct, Thousand Oaks, CA 91360. The listed phone number is (805) 587-5328.

What is Jennie Broadhurst's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Jennie Broadhurst was last updated on June 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.