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SUSAN BROCCOLI
NPI 1548060197
Counselor - Addiction (Substance Use Disorder) in Thousand Oaks, CA

Active since March 13, 2025
125 W THOUSAND OAKS BLVD STE 500, THOUSAND OAKS, CA 91360(805) 777-3500 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susan Broccoli NPPES

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

SUSAN BROCCOLI (NPI 1548060197) is an individual addiction (substance use disorder) provider in Thousand Oaks, California and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1548060197
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSUSAN BROCCOLI
Location Address125 W THOUSAND OAKS BLVD STE 500Thousand Oaks, CA 91360-4462
Mailing Address125 W Thousand Oaks Blvd Ste 500Thousand Oaks, CA 91360-4462 · (805) 777-3500
Phone(805) 777-3500
Sole ProprietorYes
Enumeration DateMarch 13, 2025
NPPES CertifiedMarch 13, 2025
✔ NPI 1548060197 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
125 W THOUSAND OAKS BLVD STE 500, Thousand Oaks, CA 91360
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Other Providers at the Same Location NPPES 20

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

REGINA CASTILLO
Registered Nurse
125 W THOUSAND OAKS BLVD STE 500
THOUSAND OAKS, CA 91360
Ventura County (805) 777-3500
MAGDALENA A PENUELAS
Counselor (Addiction (Substance Use Disorder))
125 W THOUSAND OAKS BLVD STE 500
THOUSAND OAKS, CA 91360
Ventura County (805) 873-3883
JONATHAN DEAN
Day Training/Habilitation Specialist
125 W THOUSAND OAKS BLVD STE 500
THOUSAND OAKS, CA 91360
Ventura County (805) 777-3500
DR. DEBORA ROSE LUCZYWEK L.P.C.C.
Counselor (Mental Health)
125 W THOUSAND OAKS BLVD STE 500
THOUSAND OAKS, CA 91360
Ventura County (805) 777-3518
LAURA VAN GILDER
Social Worker
125 W THOUSAND OAKS BLVD STE 500
THOUSAND OAKS, CA 91360
Ventura County (805) 777-3500
FLOR LETICIA ARREGUIN
Student in an Organized Health Care Education/Training Program
125 W THOUSAND OAKS BLVD STE 500
THOUSAND OAKS, CA 91360
Ventura County (805) 777-3500
JEFFREY EDWARD DEL BOSQUE LMFT
Counselor (Mental Health)
125 W THOUSAND OAKS BLVD STE 500
THOUSAND OAKS, CA 91360
Ventura County (805) 777-3500
GABRIEL SAUL MONDRAGON
Student in an Organized Health Care Education/Training Program
125 W THOUSAND OAKS BLVD STE 500
THOUSAND OAKS, CA 91360
Ventura County (805) 777-3500

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 Susan Broccoli's NPI number?

The NPI number for Susan Broccoli is 1548060197. It was assigned to this individual provider in the NPPES registry on March 13, 2025.

Where is Susan Broccoli located?

Susan Broccoli practices at 125 W Thousand Oaks Blvd Ste 500, Thousand Oaks, CA 91360. The listed phone number is (805) 777-3500.

What is Susan Broccoli's specialty?

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

When was this NPI record last updated?

The NPPES record for Susan Broccoli was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.