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BRODDRICK RONZELL JOHNSON LPC
NPI 1770191801
Counselor - Professional in Thibodaux, LA

Active since July 15, 2020PECOS Enrolled
102 IRIS ST, THIBODAUX, LA 70301(985) 414-5275 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 22, 2024, Jul 15, 2020 (2 updates tracked since 2020).

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

NPI1770191801
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameBRODDRICK RONZELL JOHNSONCredential: LPC
Location Address102 IRIS STThibodaux, LA 70301-4939
Mailing Address102 Iris StThibodaux, LA 70301-4939 · (985) 414-5275
Phone(985) 414-5275
Sole ProprietorNo
Enumeration DateJuly 15, 2020
Last NPPES UpdateApril 22, 20242 updates tracked since enumeration
NPPES CertifiedApril 22, 2024
✔ NPI 1770191801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in LA · 8875
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
102 IRIS ST, Thibodaux, LA 70301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.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)

Broddrick Ronzell Johnson Lpc 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.

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.

What insurance does Broddrick Johnson accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana 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.