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MS. PRISCILLA NA BROUSSARD LAC
NPI 1457679482
Counselor - Addiction (Substance Use Disorder) in Nags Head, NC

Active since May 14, 2010PECOS Enrolled
2808 S CROATAN HWY, NAGS HEAD, NC 27959(252) 441-2324(252) 441-1994 Get Directions Write a Review

NPPES record last updated: December 20, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Priscilla Na Broussard Lac NPPES

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

MS. PRISCILLA NA BROUSSARD LAC (NPI 1457679482) is an individual addiction (substance use disorder) provider in Nags Head, North Carolina, licensed in Louisiana (1348) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457679482
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. PRISCILLA NA BROUSSARDCredential: LAC
Location Address2808 S CROATAN HWYNags Head, NC 27959-9024
Mailing Address4300 Sapphire Ct Ste 110Greenville, NC 27834-9079 · (252) 830-7540
Phone(252) 441-2324
Fax(252) 441-1994
Sole ProprietorNo
Enumeration DateMay 14, 2010
Last NPPES UpdateDecember 20, 2011
✔ NPI 1457679482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses✔ Licensed in LA · 1348✔ Licensed in NC · 1475
2808 S CROATAN HWY, Nags Head, NC 27959
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Priscilla Na Broussard Lac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 13

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

MS. STEPHANIE ELIZABETH HOGATE LCSW
Social Worker (Clinical)
2808 S CROATAN HWY, SUITE 565
NAGS HEAD, NC 27959
Dare County (252) 441-2324
MS. REBEKAH DIANE CAHOON LCAS
Counselor (Addiction (Substance Use Disorder))
2808 S CROATAN HWY, SUITE B
NAGS HEAD, NC 27959
Dare County (252) 441-2324
JAMES H SOUTHERN JR. LPC
Counselor (Mental Health)
2808 S CROATAN HWY, SUITE A
NAGS HEAD, NC 27959
Dare County (252) 449-4011
CNC/ACCESS INC
Community/Behavioral Health
2808 S CROATAN HWY
NAGS HEAD, NC 27959
Dare County (252) 449-4011
DR. KIMBERLY DAVIS KEITH M.D.
Emergency Medicine
2808 S CROATAN HWY, STE C-1
NAGS HEAD, NC 27959
Dare County (252) 449-5500
CNC/ACCESS, INC.
Community/Behavioral Health
2808 S CROATAN HWY, SUITE A
NAGS HEAD, NC 27959
Dare County (800) 866-0860
PHILIP A KELLER P.A.
Physician Assistant
2808 S CROATAN HWY, SUITE 565
NAGS HEAD, NC 27959
Dare County (252) 441-2324
KATHERINE SUSANNE LAWRANCE LPCA
Counselor (Professional)
2808 S CROATAN HWY, SUITE B
NAGS HEAD, NC 27959
Dare County (252) 441-2324

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 Priscilla Broussard's NPI number?

The NPI number for Priscilla Broussard is 1457679482. It was assigned to this individual provider in the NPPES registry on May 14, 2010.

Where is Priscilla Broussard located?

Priscilla Broussard practices at 2808 S Croatan Hwy, Nags Head, NC 27959. The listed phone number is (252) 441-2324.

What is Priscilla Broussard's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Priscilla Broussard enrolled in Medicare?

Yes. Priscilla Broussard is registered in the Medicare PECOS enrollment system.

What insurance does Priscilla Broussard accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Priscilla Broussard 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 Priscilla Broussard was last updated on December 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.