MR. DANIEL THOMAS BROUGHTON JR. LPC
NPI 1205188877
Counselor - Professional in Grand Blanc, MI
About Mr. Daniel Thomas Broughton Jr. Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. DANIEL THOMAS BROUGHTON JR. LPC (NPI 1205188877) is an individual professional provider in Grand Blanc, Michigan, licensed in Michigan (6401012597) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Daniel Thomas Broughton Jr. Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Daniel Broughton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Blanc, MI 48439
- 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.
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 Daniel Broughton's NPI number?
The NPI number for Daniel Broughton is 1205188877. It was assigned to this individual provider in the NPPES registry on October 8, 2012.
Where is Daniel Broughton located?
Daniel Broughton practices at 5562 Continental Rd, Grand Blanc, MI 48439. The listed phone number is (810) 869-1015.
What is Daniel Broughton's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Daniel Broughton enrolled in Medicare?
Yes. Daniel Broughton is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Daniel Broughton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Broughton reassigns Medicare benefits to Daniel T Broughton Inc (Grand Blanc, 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 Daniel Broughton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Daniel Broughton was last updated on November 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Mr. Daniel Thomas Broughton Jr., LPC · NPI 1205188877
Professional provider in Grand Blanc, Michigan. Individual provider, active in the CMS NPPES registry since October 8, 2012.
## Identity
- **NPI:** 1205188877 (Entity type: Individual)
- **Enumerated:** October 8, 2012
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 6401012597 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 5562 CONTINENTAL RD, Grand Blanc, MI 48439-9106
- **Phone:** (810) 869-1015
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Daniel T Broughton Inc (NPI 1144041567, Grand Blanc, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 22, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1205188877) · Data from the CMS NPPES public registry.