JENNIFER ROSE BROYLES LPC-S, CM2, PTA
NPI 1720351273
Counselor - Mental Health in Poteau, OK

Active since February 14, 2012PECOS EnrolledAccepts Medicare Assignment
900 BROADWAY, SUITE 1, POTEAU, OK 74953(918) 649-0772 Get Directions Write a Review

NPPES record last updated: July 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Rose Broyles Lpc-s, Cm2, Pta NPPES

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

JENNIFER ROSE BROYLES LPC-S, CM2, PTA (NPI 1720351273) is an individual mental health provider in Poteau, Oklahoma, licensed in Oklahoma (SUPERVISION) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1720351273
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNIFER ROSE BROYLESCredential: LPC-S, CM2, PTA
Location Address900 BROADWAY, SUITE 1Poteau, OK 74953
Mailing Address900 Broadway, Suite 1Poteau, OK 74953 · (918) 649-0772
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 14, 2012
Last NPPES UpdateJuly 11, 2016
NPI 1720351273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in OK · SUPERVISION
Also ListedPhysical Therapy AssistantTaxonomy 225200000X · License 1896 (AR)
900 BROADWAY, Poteau, OK 74953

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 and accepts Medicare assignment

Jennifer Rose Broyles Lpc-s, Cm2, Pta is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103265798
PECOS Enrollment IDI20240416000604
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.

Counselor (Pastoral)
900 BROADWAY
POTEAU, OK 74953

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 Jennifer Broyles's NPI number?

The NPI number for Jennifer Broyles is 1720351273. It was assigned to this individual provider in the NPPES registry on February 14, 2012.

Where is Jennifer Broyles located?

Jennifer Broyles practices at 900 Broadway Suite 1, Poteau, OK 74953. The listed phone number is (918) 649-0772.

What is Jennifer Broyles's specialty?

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

Is Jennifer Broyles enrolled in Medicare?

Yes. Jennifer Broyles is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jennifer Broyles accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Oscar Insurance Company and UnitedHealthcare list Jennifer Broyles 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 Jennifer Broyles was last updated on July 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.