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JACQUELYN JOY BROADUS LMHC
NPI 1346673506
Counselor - Mental Health in Defuniak Springs, FL

Active since August 12, 2013Opted out of Medicare · through Sep 18, 2026
3686 US HIGHWAY 331 S, DEFUNIAK SPRINGS, FL 32435(850) 892-8055(850) 892-8057 Get Directions Write a Review

NPPES record last updated: August 12, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacquelyn Joy Broadus Lmhc NPPES

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

JACQUELYN JOY BROADUS LMHC (NPI 1346673506) is an individual mental health provider in Defuniak Springs, Florida, licensed in Florida (MH11967) and active in the NPI registry since August 2013. She has opted out of Medicare through September 18, 2026.

NPPES Registry Identity

NPI1346673506
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACQUELYN JOY BROADUSCredential: LMHC
Location Address3686 US HIGHWAY 331 SDefuniak Springs, FL 32435-8463
Mailing Address3686 Us Highway 331 SDefuniak Springs, FL 32435-8463 · (850) 892-8055 · Fax (850) 892-8057
Phone(850) 892-8055
Fax(850) 892-8057
Sole ProprietorNo
Enumeration DateAugust 12, 2013
✔ NPI 1346673506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH11967
3686 US HIGHWAY 331 S, Defuniak Springs, FL 32435
Open in Google Maps ↗

Other Identifiers 1

OtherMH11967FL · State Of Florida Department Of Health Divison Of Medical Quality Assurance

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jacquelyn Joy Broadus Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 18, 2024 through September 18, 2026.

Opt-Out Effective DateSeptember 18, 2024
Opt-Out In Effect ThroughSeptember 18, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 19

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

JACQUELINE M GIBSON LMHC
Counselor (Mental Health)
3686 US HIGHWAY 331 S
DEFUNIAK SPRINGS, FL 32435
Walton County (850) 892-8045
KATIE WEEKS LCSW
Social Worker (Clinical)
3686 US HIGHWAY 331 S
DEFUNIAK SPRINGS, FL 32435
Walton County (850) 892-8045
MRS. CALLIE GRAY BOBBITT
Social Worker
3686 US HIGHWAY 331 S
DEFUNIAK SPRINGS, FL 32435
Walton County (850) 892-8035
MS. SANDRA LEE MAUPIN M.S.W.
Social Worker (Clinical)
3686 US HIGHWAY 331 S
DEFUNIAK SPRINGS, FL 32435
Walton County (850) 892-8035
JOSEPH KIMBERL
Counselor (Mental Health)
3686 US HIGHWAY 331 S
DEFUNIAK SPRINGS, FL 32435
Walton County (850) 974-9240
THOMAS S HUBERTY LMHC
Counselor (Mental Health)
3686 US HIGHWAY 331 S
DEFUNIAK SPRINGS, FL 32435
Walton County (850) 892-8045
MRS. AMBER BEASLEY
Counselor (Mental Health)
3686 US HIGHWAY 331 S
DEFUNIAK SPRINGS, FL 32435
Walton County (850) 892-8035
LAKEISHA PARRISH
Case Management
3686 US HIGHWAY 331 S
DEFUNIAK SPRINGS, FL 32435
Walton County (850) 332-6371

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 Jacquelyn Broadus's NPI number?

The NPI number for Jacquelyn Broadus is 1346673506. It was assigned to this individual provider in the NPPES registry on August 12, 2013.

Where is Jacquelyn Broadus located?

Jacquelyn Broadus practices at 3686 Us Highway 331 S, Defuniak Springs, FL 32435. The listed phone number is (850) 892-8055.

What is Jacquelyn Broadus's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jacquelyn Broadus enrolled in Medicare?

No. Jacquelyn Broadus has opted out of Medicare through September 18, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jacquelyn Broadus accept?

Health plans from Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Jacquelyn Broadus as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacquelyn Broadus was last updated on August 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.