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SHADISHA K BENNETT BRODDE LPC
NPI 1477826022
Counselor - Mental Health in Saint Augustine, FL

Active since February 13, 2012
910 GOLDEN LAKE LOOP, SAINT AUGUSTINE, FL 32084(478) 387-5582 Get Directions Write a Review

NPPES record last updated: June 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shadisha K Bennett Brodde Lpc NPPES

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

SHADISHA K BENNETT BRODDE LPC (NPI 1477826022) is an individual mental health provider in Saint Augustine, Florida, licensed in Florida (MH18303) and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1477826022
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHADISHA K BENNETT BRODDECredential: LPC
Location Address910 GOLDEN LAKE LOOPSaint Augustine, FL 32084-5877
Mailing Address910 Golden Lake LoopSaint Augustine, FL 32084-5877 · (478) 387-5582
Phone(478) 387-5582
Sole ProprietorNo
Enumeration DateFebruary 13, 2012
Last NPPES UpdateJune 16, 2021
NPPES CertifiedJune 16, 2021
✔ NPI 1477826022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH18303
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 178005880 (IL)
910 GOLDEN LAKE LOOP, Saint Augustine, FL 32084
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), UnitedHealthcare.Insurance ›

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 Shadisha Bennett Brodde's NPI number?

The NPI number for Shadisha Bennett Brodde is 1477826022. It was assigned to this individual provider in the NPPES registry on February 13, 2012.

Where is Shadisha Bennett Brodde located?

Shadisha Bennett Brodde practices at 910 Golden Lake Loop, Saint Augustine, FL 32084. The listed phone number is (478) 387-5582.

What is Shadisha Bennett Brodde's specialty?

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

What insurance does Shadisha Bennett Brodde accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Shadisha Bennett Brodde 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 Shadisha Bennett Brodde was last updated on June 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.