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BROUSSARD MARRIAGE & FAMILY THERAPY INC
NPI 1285384636
Marriage & Family Therapist in Temecula, CA

Active since March 28, 2022
41661 ENTERPRISE CIR N STE 111, TEMECULA, CA 92590(619) 607-1234(951) 527-1401 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Broussard Marriage & Family Therapy Inc NPPES

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

BROUSSARD MARRIAGE & FAMILY THERAPY INC (NPI 1285384636) is a healthcare organization registered as a marriage & family therapist in Temecula, California and active in the NPI registry since March 2022. The organization lists Susan Ann Broussard, Ceo, as its authorized official.

NPPES Registry Identity

NPI1285384636
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NameBROUSSARD MARRIAGE & FAMILY THERAPY INC
Location Address41661 ENTERPRISE CIR N STE 111Temecula, CA 92590-5629
Mailing Address29042 Silverdale LnWinchester, CA 92596-9616 · (619) 607-1234 · Fax (951) 527-1401
Phone(619) 607-1234
Fax(951) 527-1401
Organization SubpartNo
Authorized OfficialSusan Ann BroussardCeo · (619) 607-1234
Enumeration DateMarch 28, 2022
Last NPPES UpdateOctober 24, 2022
NPPES CertifiedOctober 24, 2022
✔ NPI 1285384636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
41661 ENTERPRISE CIR N STE 111, Temecula, CA 92590
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Broussard Marriage & Family Therapy Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Broussard Marriage & Family Therapy Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Susan Broussard, M.A
Marriage and Family Therapist
NPI 1003946500
26323 JEFFERSON AVE E111
Murrieta, CA 92562
(619) 607-1234
✔ PECOS✔ Accepts Medicare1.2 mi

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 Broussard Marriage & Family Therapy Inc's NPI number?

The NPI number for Broussard Marriage & Family Therapy Inc is 1285384636. It was assigned to this organization in the NPPES registry on March 28, 2022.

Where is Broussard Marriage & Family Therapy Inc located?

Broussard Marriage & Family Therapy Inc is located at 41661 Enterprise Cir N Ste 111, Temecula, CA 92590. The listed phone number is (619) 607-1234.

What is Broussard Marriage & Family Therapy Inc's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Broussard Marriage & Family Therapy Inc enrolled in Medicare?

Yes. Broussard Marriage & Family Therapy Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Broussard Marriage & Family Therapy Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Marriage and Family Therapist) reassigns their Medicare billing to Broussard Marriage & Family Therapy Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Broussard Marriage & Family Therapy Inc was last updated on October 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.