RONETTA BROOMFIELD
NPI 1679209258
Counselor - Mental Health in Brandon, MS

Q: What is Ronetta Broomfield's NPI number?

The NPI number for Ronetta Broomfield is 1679209258. It was assigned to this individual provider in the NPPES registry on July 27, 2022.

Q: What is Ronetta Broomfield's specialty?

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

Active since July 27, 2022PECOS Enrolled

613 MARQUETTE RD, BRANDON, MS 39042(601) 825-8800 Get Directions Write a Review

NPPES record last updated: August 1, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 1, 2022, Jul 27, 2022 (2 updates tracked since 2022).

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About Ronetta Broomfield NPPES

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

RONETTA BROOMFIELD (NPI 1679209258) is an individual mental health provider in Brandon, Mississippi and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Byram.

NPPES Registry Identity

NPI1679209258

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameRONETTA BROOMFIELD

Location Address613 MARQUETTE RDBrandon, MS 39042-3038

Mailing Address5104 Brookleigh DrByram, MS 39272-6042 · (601) 940-5878

Phone(601) 825-8800

Sole ProprietorNo

Enumeration DateJuly 27, 2022

Last NPPES UpdateAugust 1, 20222 updates tracked since enumeration

NPPES CertifiedAugust 1, 2022

✔ NPI 1679209258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

613 MARQUETTE RD, Brandon, MS 39042

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Secondary Practice Location 1

Location 15104 Brookleigh DrByram, MS 39272-6042 · Phone (601) 940-5878

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ronetta Broomfield 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 20

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

BRANDY NICOLE NEWSOME BYRD PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)