JESSICA M. BROZ PC
NPI 1366648321
Counselor - Professional in Toledo, OH

Active since June 26, 2007PECOS Enrolled
123 22ND ST, TOLEDO, OH 43624(419) 241-6191(419) 255-5623 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jessica M. Broz Pc NPPES

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

JESSICA M. BROZ PC (NPI 1366648321) is an individual professional provider in Toledo, Ohio, licensed in Ohio (C 0007845) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Toledo College Of Medicine (2003).

NPPES Registry Identity

NPI1366648321
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJESSICA M. BROZCredential: PC
Location Address123 22ND STToledo, OH 43624-1107
Mailing Address123 22nd StToledo, OH 43624-1107 · (419) 241-6191 · Fax (419) 255-5623
Fax(419) 255-5623
Sole ProprietorNo
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 2003
Enumeration DateJune 26, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1366648321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · C 0007845
123 22ND ST, Toledo, OH 43624

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica M. Broz Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931631710
PECOS Enrollment IDI20241017002895
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.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Broz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
1425 STARR AVE
Toledo, OH 43605
  • Reassigned Medicare billing, Ohio enrollment
  • 84 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

Counselor (Professional)
123 22ND ST
TOLEDO, OH 43624
Counselor (Professional)
123 22ND ST
TOLEDO, OH 43624
Counselor (Professional)
123 22ND ST
TOLEDO, OH 43624
Social Worker
123 22ND ST
TOLEDO, OH 43624
Psychologist
123 22ND ST
TOLEDO, OH 43624

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 Jessica Broz's NPI number?

The NPI number for Jessica Broz is 1366648321. It was assigned to this individual provider in the NPPES registry on June 26, 2007.

Where is Jessica Broz located?

Jessica Broz practices at 123 22nd St, Toledo, OH 43624. The listed phone number is (419) 241-6191.

What is Jessica Broz's specialty?

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

Is Jessica Broz enrolled in Medicare?

Yes. Jessica Broz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Broz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Broz reassigns Medicare benefits to Unison Behavioral Health Group, Inc. (Toledo, OH). The 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 Jessica Broz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Broz accept?

Health plans from AmeriHealth Caritas Next, Anthem Blue Cross and Blue Shield, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio and 2 other insurers list Jessica Broz 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 Jessica Broz was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.