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KELLY MICHELLE BROUSSARD LMHC
NPI 1871050146
Counselor - Mental Health in Hilo, HI

Active since February 22, 2019
190 KEAWE ST STE 33, HILO, HI 96720(808) 238-9990 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2024, Aug 11, 2022, Feb 22, 2019 (3 updates tracked since 2019).

About Kelly Michelle Broussard Lmhc NPPES

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

KELLY MICHELLE BROUSSARD LMHC (NPI 1871050146) is an individual mental health provider in Hilo, Hawaii, licensed in Hawaii (MHC-790) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1871050146
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY MICHELLE BROUSSARDCredential: LMHC
Location Address190 KEAWE ST STE 33Hilo, HI 96720-2849
Mailing Address7006 W Briarwood AveWichita, KS 67212-2928 · (808) 238-9990 · Fax (808) 865-2930
Phone(808) 238-9990
Sole ProprietorYes
Enumeration DateFebruary 22, 2019
Last NPPES UpdateOctober 3, 20243 updates tracked since enumeration
NPPES CertifiedOctober 3, 2024
✔ NPI 1871050146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in HI · MHC-790
190 KEAWE ST STE 33, Hilo, HI 96720
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Other Providers at the Same Location NPPES

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

JUDY MAI MARSH MFT
Marriage & Family Therapist
190 KEAWE ST STE 33
HILO, HI 96720
Hawaii County (808) 238-8164

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 Kelly Broussard's NPI number?

The NPI number for Kelly Broussard is 1871050146. It was assigned to this individual provider in the NPPES registry on February 22, 2019.

Where is Kelly Broussard located?

Kelly Broussard practices at 190 Keawe St Ste 33, Hilo, HI 96720. The listed phone number is (808) 238-9990.

What is Kelly Broussard's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Broussard was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.