JERRIOD NICHOLAS BROADNAX LADAC, NCAC-II, CFC
NPI 1427116581
Counselor - Addiction (Substance Use Disorder) in Fayetteville, AR
NPI Status: Active since December 04, 2006
Contact Information
509 E. MILSAP ROAD
SUITE 9
FAYETTEVILLE, AR
ZIP 72703
Phone: (479) 879-7038
Fax: (479) 340-0500
- Individual
- Male
- Years of Experience 19
- Counselor
- Addiction (Substance Use Disorder)
- May Accept Medicare Approved Payment
- PECOS Enrolled
About JERRIOD BROADNAX
This page provides the complete NPI Profile along with additional information for Jerriod Broadnax, a provider established in Fayetteville, Arkansas with a medical specialization in Counselor, focusing in addiction (substance use disorder) and more than 19 years of experience. The healthcare provider is registered in the NPI registry with number 1427116581 assigned on December 2006. The practitioner's primary taxonomy code is 101YA0400X with license number 333L (AR). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1427116581
- Provider Name
- JERRIOD NICHOLAS BROADNAX LADAC, NCAC-II, CFC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 509 E. MILSAP ROAD SUITE 9 FAYETTEVILLE, AR 72703
- Location Phone
- (479) 879-7038
- Location Fax
- (479) 340-0500
- Mailing Address
- 2926 N. SUSAN CAROL LANE FAYETTEVILLE, AR 72703
- Mailing Phone
- (479) 445-8142
- Medical School Name
- OTHER
- Graduation Year
- 2008
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-04-2006
- Last Update Date
- 08-10-2021
- Code Navigator
A Substance Abuse or Addiction Counselor like Jerriod Broadnax advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Addiction (Substance Use Disorder)
- Taxonomy Code
- 101YA0400X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 333L
- License State
- AR
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | 28533 (IN) |
| 2 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | 016701 (VA) |
| 3 | 171M00000X | Other Service Providers | Case Manager/Care Coordinator |
Medicare Participation & PECOS Enrollment Status
Jerriod Broadnax is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Jerriod Broadnax is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 648773218
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20250910002755
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for JERRIOD NICHOLAS BROADNAX LADAC, NCAC-II, CFC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1427116581, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427116581, enumerated as an "individual" on December 04, 2006.
The provider is located at 509 E. MILSAP ROAD SUITE 9 FAYETTEVILLE, AR 72703 and the phone number is (479) 879-7038.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
