MS. LOLA MADRONE BROOMBERG LPC
NPI 1336581404
Counselor - Professional in Eugene, OR
Active since July 18, 2013
541 WILLAMETTE ST STE 207A, EUGENE, OR 97401(541) 686-8119(541) 686-3340 Get Directions Write a Review
About Ms. Lola Madrone Broomberg Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. LOLA MADRONE BROOMBERG LPC (NPI 1336581404) is an individual professional provider in Eugene, Oregon, licensed in Oregon (C3168) and active in the NPI registry since July 2013.
NPPES Registry Identity
NPI1336581404
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. LOLA MADRONE BROOMBERGCredential: LPC
Location Address541 WILLAMETTE ST STE 207AEugene, OR 97401-2623
Mailing Address541 Willamette St Ste 102Eugene, OR 97401-2687 · (541) 341-3477
Phone(541) 686-8119
Fax(541) 686-3340
Sole ProprietorYes
Enumeration DateJuly 18, 2013
Last NPPES UpdateApril 24, 2019
✔ NPI 1336581404 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 3
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · C3168
Also ListedCounselorTaxonomy 101Y00000X · License C3168 (OR)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License C3168 (OR)
541 WILLAMETTE ST STE 207A, Eugene, OR 97401
Other Identifiers 1
Medicaid500692264OR
Accepted Insurance
The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336581404, enumerated as an "individual" on July 18, 2013.
The provider is located at 541 WILLAMETTE ST STE 207A EUGENE, OR 97401 and the phone number is (541) 686-8119.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.
