WYANICKA BROUSSARD
NPI 1689226532
Counselor - Professional in Houston, TX

Active since July 11, 2019PECOS Enrolled
5144 E SAM HOUSTON PKWY N STE 114, HOUSTON, TX 77015(346) 327-5161(186) 693-6453 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 6, 2024, Feb 8, 2023, Nov 9, 2021 and 3 more (6 updates tracked since 2019).

About Wyanicka Broussard NPPES

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

WYANICKA BROUSSARD (NPI 1689226532) is an individual professional provider in Houston, Texas and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689226532
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameWYANICKA BROUSSARD
Location Address5144 E SAM HOUSTON PKWY N STE 114Houston, TX 77015-3225
Mailing Address5144 E Sam Houston Pkwy N Ste 114Houston, TX 77015-3225 · (346) 327-5161
Fax(186) 693-6453
Sole ProprietorYes
Enumeration DateJuly 11, 2019
Last NPPES UpdateMarch 6, 20246 updates tracked since enumeration
NPPES CertifiedMarch 6, 2024
NPI 1689226532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
5144 E SAM HOUSTON PKWY N STE 114, Houston, TX 77015

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted 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)

Wyanicka Broussard 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

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

Case Management
5144 E SAM HOUSTON PKWY N STE 114
HOUSTON, TX 77015

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 Wyanicka Broussard's NPI number?

The NPI number for Wyanicka Broussard is 1689226532. It was assigned to this individual provider in the NPPES registry on July 11, 2019.

Where is Wyanicka Broussard located?

Wyanicka Broussard practices at 5144 E Sam Houston Pkwy N Ste 114, Houston, TX 77015. The listed phone number is (346) 327-5161.

What is Wyanicka Broussard's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Wyanicka Broussard enrolled in Medicare?

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

What insurance does Wyanicka Broussard accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 7 other insurers list Wyanicka 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 Wyanicka Broussard was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.