1. Home
  2. Directory
  3. Oklahoma
  4. Pryor
  5. Counselor
  6. NPI Profile
Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JAMIE DEJON BROADDRICK
NPI 1881509537
Counselor - Mental Health in Pryor, OK

Active since August 17, 2026
109 N FAIRLAND ST, PRYOR, OK 74361(800) 722-3611 Get Directions Write a Review

NPPES record added: August 18, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jamie Dejon Broaddrick NPPES

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

JAMIE DEJON BROADDRICK (NPI 1881509537) is an individual mental health provider in Pryor, Oklahoma and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1881509537
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJAMIE DEJON BROADDRICK
Location Address109 N FAIRLAND STPryor, OK 74361-4205
Mailing Address109 N Fairland StPryor, OK 74361-4205 · (800) 722-3611
Phone(800) 722-3611
Sole ProprietorNo
Enumeration DateAugust 17, 2026
Last NPPES UpdateAugust 18, 2026
NPPES CertifiedAugust 18, 2026
✔ NPI 1881509537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
109 N FAIRLAND ST, Pryor, OK 74361
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

KALI ROSE KERNS
Peer Specialist
109 N FAIRLAND ST
PRYOR, OK 74361
Mayes County (918) 825-1405
JACKIE ELAINE HORTON
Case Manager/Care Coordinator
109 N FAIRLAND ST
PRYOR, OK 74361
Mayes County (918) 825-1405
WHITNEY JOANNA PHILLIPS
Peer Specialist
109 N FAIRLAND ST
PRYOR, OK 74361
Mayes County (918) 825-1405
BREANNA NICOLE COOK MHR, LPC-C
Counselor (Mental Health)
109 N FAIRLAND ST
PRYOR, OK 74361
Mayes County (918) 825-1401
NICOLE BURNHAM LPN
Licensed Practical Nurse
109 N FAIRLAND ST
PRYOR, OK 74361
Mayes County (918) 825-1405
STEPHANIE RENEE STACY
Peer Specialist
109 N FAIRLAND ST
PRYOR, OK 74361
Mayes County (918) 273-1841
CRYSTAL MICHELLE CUMMINS
Case Manager/Care Coordinator
109 N FAIRLAND ST
PRYOR, OK 74361
Mayes County (918) 825-1405
KANDICE BRIANS
Peer Specialist
109 N FAIRLAND ST
PRYOR, OK 74361
Mayes County (918) 273-1841

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 Jamie Broaddrick's NPI number?

The NPI number for Jamie Broaddrick is 1881509537. It was assigned to this individual provider in the NPPES registry on August 17, 2026.

Where is Jamie Broaddrick located?

Jamie Broaddrick practices at 109 N Fairland St, Pryor, OK 74361. The listed phone number is (800) 722-3611.

What is Jamie Broaddrick'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 Jamie Broaddrick was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.