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ASHLEY BROOM LPC
NPI 1225513260
Counselor - Professional in Rockford, IL

Active since September 25, 2018PECOS Enrolled
1200 W STATE ST, ROCKFORD, IL 61102(815) 490-1600(815) 490-1881 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 30, 2026, Jan 20, 2026, Feb 13, 2025 and 1 more (4 updates tracked since 2018).

About Ashley Broom Lpc NPPES

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

ASHLEY BROOM LPC (NPI 1225513260) is an individual professional provider in Rockford, Illinois and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Rockford.

NPPES Registry Identity

NPI1225513260
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameASHLEY BROOMCredential: LPC
Location Address1200 W STATE STRockford, IL 61102-2112
Mailing Address1200 W State StRockford, IL 61102-2112 · (815) 490-1600 · Fax (815) 490-1881
Phone(815) 490-1600
Fax(815) 490-1881
Sole ProprietorYes
Enumeration DateSeptember 25, 2018
Last NPPES UpdateJanuary 30, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2026
✔ NPI 1225513260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCounselorTaxonomy 101Y00000X
Also ListedBehavior TechnicianTaxonomy 106S00000X · License 18-63145 (IL)
1200 W STATE ST, Rockford, IL 61102
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Secondary Practice Location 1

Location 13019 N Perryville RdRockford, IL 61114-8016 · Phone (815) 975-3330

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ashley Broom Lpc 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.

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.

CARYN ANN RUZIC APRN
Nurse Practitioner (Family)
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
DR. JOHN WALL MD
Family Medicine
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
DR. ADEKOLA ABIOUDUN ASHAYE MD
Internal Medicine
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
DR. GARY PATRICK FERNANDO MD
Pediatrics
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
CRISTINA DIVENTI LSW
Social Worker
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
CORNITA CANNON M.D.
Obstetrics & Gynecology
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
LAURA PEREZ CNM, APRN
Advanced Practice Midwife
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
KERIN CUMMINS APN
Nurse Practitioner (Family)
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600

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 Ashley Broom's NPI number?

The NPI number for Ashley Broom is 1225513260. It was assigned to this individual provider in the NPPES registry on September 25, 2018.

Where is Ashley Broom located?

Ashley Broom practices at 1200 W State St, Rockford, IL 61102. The listed phone number is (815) 490-1600.

What is Ashley Broom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Ashley Broom enrolled in Medicare?

Yes. Ashley Broom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ashley Broom was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.