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CARLY BROADHEAD MA, NCC, LPC
NPI 1275975914
Counselor in Meridian, ID

Active since July 23, 2013
3071 E FRANKLIN RD STE 201, MERIDIAN, ID 83642(208) 807-2877 Get Directions Write a Review

NPPES record last updated: March 7, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carly Broadhead Ma, Ncc, Lpc NPPES

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

CARLY BROADHEAD MA, NCC, LPC (NPI 1275975914) is an individual counselor in Meridian, Idaho and active in the NPI registry since July 2013. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1275975914
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameCARLY BROADHEADCredential: MA, NCC, LPC
Location Address3071 E FRANKLIN RD STE 201Meridian, ID 83642
Mailing Address11828 W Fairview Ave Apt 202Boise, ID 83713-7802 · (986) 200-9268
Phone(208) 807-2877
Sole ProprietorNo
Enumeration DateJuly 23, 2013
Last NPPES UpdateMarch 7, 2019
✔ NPI 1275975914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
3071 E FRANKLIN RD STE 201, Meridian, ID 83642
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Secondary Practice Locations 2

Location 11825 Marika RdFairbanks, AK 99709-5521 · Phone (907) 474-0890 · Fax (907) 474-3621
Location 211828 W Fairview Ave Apt 202Boise, ID 83713-7802 · Phone (986) 200-9268

Other Identifiers 1

MedicaidMH3237AK

Other Providers at the Same Location NPPES 12

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

COURTNEY M COMBE PA-C
Physician Assistant
3071 E FRANKLIN RD STE 201
MERIDIAN, ID 83642
Ada County (208) 807-2877
DAVID HAYES
Social Worker
3071 E FRANKLIN RD STE 201
MERIDIAN, ID 83642
Ada County (208) 807-2877
NICOLE JOHNSON LPC
Counselor (Professional)
3071 E FRANKLIN RD STE 201
MERIDIAN, ID 83642
Ada County (208) 807-2877
TAMI D. HARRIS LPC
Counselor (Professional)
3071 E FRANKLIN RD STE 201
MERIDIAN, ID 83642
Ada County (208) 807-2877
JORDYN MARIE WITTY LCSW
Counselor (Mental Health)
3071 E FRANKLIN RD STE 201
MERIDIAN, ID 83642
Ada County (208) 807-2877
MRS. KRISTIN MICHELLE OVERTON LMSW
Social Worker
3071 E FRANKLIN RD STE 201
MERIDIAN, ID 83642
Ada County (208) 807-2877
CARISSA MARIE ROGERS LMSW
Social Worker
3071 E FRANKLIN RD STE 201
MERIDIAN, ID 83642
Ada County (208) 807-2877
DAKOTA SIOUX GRENDE LMSW
Social Worker (Clinical)
3071 E FRANKLIN RD STE 201
MERIDIAN, ID 83642
Ada County (208) 807-2877

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 Carly Broadhead's NPI number?

The NPI number for Carly Broadhead is 1275975914. It was assigned to this individual provider in the NPPES registry on July 23, 2013.

Where is Carly Broadhead located?

Carly Broadhead practices at 3071 E Franklin Rd Ste 201, Meridian, ID 83642. The listed phone number is (208) 807-2877.

What is Carly Broadhead's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Carly Broadhead was last updated on March 7, 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.