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LATASHA BROOMFIELD MA, LPC, NCC, CACI
NPI 1699192096
Counselor - Professional in Edgefield, SC

Active since March 24, 2014PECOS Enrolled
409 SIMPKINS ST, EDGEFIELD, SC 29824(803) 637-5788 Get Directions Write a Review

NPPES record last updated: December 7, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Latasha Broomfield Ma, Lpc, Ncc, Caci NPPES

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

LATASHA BROOMFIELD MA, LPC, NCC, CACI (NPI 1699192096) is an individual professional provider in Edgefield, South Carolina, licensed in South Carolina (6126) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699192096
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLATASHA BROOMFIELDCredential: MA, LPC, NCC, CACI
Location Address409 SIMPKINS STEdgefield, SC 29824-1313
Mailing Address409 Simpkins StEdgefield, SC 29824-1313 · (803) 637-5788
Phone(803) 637-5788
Sole ProprietorNo
Enumeration DateMarch 24, 2014
Last NPPES UpdateDecember 7, 2016
✔ NPI 1699192096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in SC · 6126
409 SIMPKINS ST, Edgefield, SC 29824
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN3335SC
Medicaid421504SC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Latasha Broomfield Ma, Lpc, Ncc, Caci 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.

Medicare Billing Reassignment

Medicare enrollment records show Latasha Broomfield reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Carolina Dept Of Mental Health Accounting Office
29 mi
Mental Health (Including Community Mental Health Center)
1547 PARKWAY
Greenwood, SC 29646
  • Reassigned Medicare billing, South Carolina enrollment
  • 236 clinicians in this Medicare group
NPI 1124135009 (642) 238-3318

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

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

MS. TERI LYNN CRISTAL LMSW
Social Worker
409 SIMPKINS ST
EDGEFIELD, SC 29824
Edgefield County (803) 637-5788
MS. CAROLE ANN CHIDLEY MA
Counselor (Mental Health)
409 SIMPKINS ST
EDGEFIELD, SC 29824
Edgefield County (803) 637-5788
MS. MYRDIS Y. SHEPPARD BA
Counselor
409 SIMPKINS ST
EDGEFIELD, SC 29824
Edgefield County (803) 637-5338
MS. WINIFRED JEAN EUBANKS BS
Counselor (Mental Health)
409 SIMPKINS ST
EDGEFIELD, SC 29824
Edgefield County (803) 637-5788
MRS. CHERYL H LINDLER MS
Counselor (Mental Health)
409 SIMPKINS ST
EDGEFIELD, SC 29824
Edgefield County (803) 637-5788
MS. SHERRY LEIGH PASCHAL CPSS
Counselor (Mental Health)
409 SIMPKINS ST
EDGEFIELD, SC 29824
Edgefield County (803) 637-7588
MARION ROBERT HENDERSON
Counselor (Mental Health)
409 SIMPKINS ST
EDGEFIELD, SC 29824
Edgefield County (803) 637-5338

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 Latasha Broomfield's NPI number?

The NPI number for Latasha Broomfield is 1699192096. It was assigned to this individual provider in the NPPES registry on March 24, 2014.

Where is Latasha Broomfield located?

Latasha Broomfield practices at 409 Simpkins St, Edgefield, SC 29824. The listed phone number is (803) 637-5788.

What is Latasha Broomfield's specialty?

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

Is Latasha Broomfield enrolled in Medicare?

Yes. Latasha Broomfield is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Latasha Broomfield's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Latasha Broomfield reassigns Medicare benefits to South Carolina Dept Of Mental Health Accounting Office (Greenwood, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Latasha Broomfield's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Latasha Broomfield was last updated on December 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.