AMBER D BROADUS CHW
NPI 1639942774
Peer Specialist in Columbus, OH

Active since October 31, 2023
3505 E LIVINGSTON AVE STE K, COLUMBUS, OH 43227(614) 845-1704 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 28, 2026, Oct 31, 2023 (2 updates tracked since 2023).

About Amber D Broadus Chw NPPES

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

AMBER D BROADUS CHW (NPI 1639942774) is an individual peer specialist in Columbus, Ohio and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1639942774
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameAMBER D BROADUSCredential: CHW
Location Address3505 E LIVINGSTON AVE STE KColumbus, OH 43227-2252
Mailing Address3505 E Livingston Ave Ste KColumbus, OH 43227-2252 · (614) 845-1704
Sole ProprietorNo
Enumeration DateOctober 31, 2023
Last NPPES UpdateJanuary 28, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
NPI 1639942774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCommunity Health WorkerTaxonomy 172V00000X · License JFRF-CNTSVC (OH)
Also ListedCase ManagementTaxonomy 251B00000X
3505 E LIVINGSTON AVE STE K, Columbus, OH 43227

Other Providers at the Same Location NPPES 2

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

Community/Behavioral Health
3505 E LIVINGSTON AVE STE K
COLUMBUS, OH 43227
Clinic/Center (Community Health)
3505 E LIVINGSTON AVE STE K
COLUMBUS, OH 43227

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 Amber Broadus's NPI number?

The NPI number for Amber Broadus is 1639942774. It was assigned to this individual provider in the NPPES registry on October 31, 2023.

Where is Amber Broadus located?

Amber Broadus practices at 3505 E Livingston Ave Ste K, Columbus, OH 43227. The listed phone number is (614) 845-1704.

What is Amber Broadus's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Amber Broadus was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.