BRODDRICK RONZELL JOHNSON LPC
NPI 1770191801
Counselor - Professional in Thibodaux, LA
About Broddrick Ronzell Johnson Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRODDRICK RONZELL JOHNSON LPC (NPI 1770191801) is an individual professional provider in Thibodaux, Louisiana, licensed in Louisiana (8875) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Broddrick Ronzell Johnson Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Broddrick Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Houma, LA 70360
- Reassigned Medicare billing, Louisiana enrollment
- 68 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.
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 Broddrick Johnson's NPI number?
The NPI number for Broddrick Johnson is 1770191801. It was assigned to this individual provider in the NPPES registry on July 15, 2020.
Where is Broddrick Johnson located?
Broddrick Johnson practices at 102 Iris St, Thibodaux, LA 70301. The listed phone number is (985) 414-5275.
What is Broddrick Johnson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Broddrick Johnson enrolled in Medicare?
Yes. Broddrick Johnson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Broddrick Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Broddrick Johnson reassigns Medicare benefits to Start Corporation (Houma, LA). 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 Broddrick Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Broddrick Johnson accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Broddrick Johnson 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 Broddrick Johnson was last updated on April 22, 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.
# Broddrick Ronzell Johnson, LPC · NPI 1770191801
Professional provider in Thibodaux, Louisiana. Individual provider, active in the CMS NPPES registry since July 15, 2020.
## Identity
- **NPI:** 1770191801 (Entity type: Individual)
- **Enumerated:** July 15, 2020
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 8875 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 102 IRIS ST, Thibodaux, LA 70301-4939
- **Phone:** (985) 414-5275
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Start Corporation (NPI 1700156866, Houma, LA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1770191801) · Data from the CMS NPPES public registry.