JENNIFER ROSE BROYLES LPC-S, CM2, PTA
NPI 1720351273
Counselor - Mental Health in Poteau, OK
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Jennifer Broyles reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Antlers, OK 74523
- Reassigned Medicare billing, Oklahoma enrollment
- 39 clinicians in this Medicare group
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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Jennifer Broyles's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Broyles reassigns Medicare benefits to Quest Mhsa (Antlers, OK). 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 Jennifer Broyles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jennifer Broyles accept?
Health plans from Blue Cross and Blue Shield of Oklahoma 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.
# Jennifer Rose Broyles, LPC-S, CM2, PTA · NPI 1720351273
Mental Health provider in Poteau, Oklahoma. Individual provider, active in the CMS NPPES registry since February 14, 2012.
## Identity
- **NPI:** 1720351273 (Entity type: Individual)
- **Enumerated:** February 14, 2012
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** SUPERVISION (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 900 BROADWAY, SUITE 1, Poteau, OK 74953
- **Phone:** (918) 649-0772
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Quest Mhsa (NPI 1174776819, Antlers, OK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** July 11, 2016
---
Source: [NPI Profile](https://npiprofile.com/npi/1720351273) · Data from the CMS NPPES public registry.